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在OAGB后早期术后出血的管理:单中心经验
Ramy F Helmy1, Mohey R Elbanna1, Ahmed O El-Zemeity1
1Department of General Surgery, Ain Shams University.
Surgical laparoscopy, endoscopy & percutaneous techniques
|October 18, 2023
概括
经过一次静脉缩胃绕道 (OAGB) 术后的早期术后出血是罕见的,发生在4.67%的患者中. 保守的管理对腹腔内出血是有效的,而内镜对于腹腔内出血是关键.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 一个解剖肠胃绕道 (OAGB) 越来越受欢迎,因为它的效率和结果与Roux-en-Y胃绕道相当.
- OAGB提供了诸如更短的操作时间,更少的泄漏点和更容易的修订等优势.
- 在OAGB之后,管理早期的术后出血对于患者的安全至关重要.
研究的目的:
- 报告OAGB.GB后早期术后出血的发生率和管理策略.
- 分析不同治疗方法对出血并发症的有效性.
- 为提供有关OAGB相关出血手术管理的见解.
主要方法:
- 在2016年1月至2023年1月期间,对300名接受OAGB治疗的患者进行了回顾性分析.
- 患者在手术后30天被监测早期并发症,特别是出血.
- 收集的数据包括出血发生率,位置和管理策略 (保守,内镜或腹腔镜).
主要成果:
- 早期术后出血发生在4.67% (14/300) 的患者中.
- 腹腔内出血 (10名患者) 通常以保守的方式管理 (7/10),其中3人需要腹腔镜检查.
- 内出血 (4名患者) 通常需要内镜干预 (3/4),其中一个病例通过腹腔镜进行管理.
结论:
- 早期术后出血是OAGB的不常见并发症,发病率为4.67%.
- 保守治疗对于腹腔内出血是非常有效的;腹腔镜检查适用于耐火病例.
- 内镜干预是OAGB之后的内出血的主要治疗方法.
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