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与ERCP相关的不良事件:发生率,机制,危险因素,预防和管理
Angelica Rivas1, Simran Pherwani2, Rachid Mohamed3
1Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Expert review of gastroenterology & hepatology
|October 30, 2023
概括
内镜逆行胆血管细胞造影 (ERCP) 具有较高的不良事件 (AE) 率. 了解ERCPAE,其风险和管理对于患者安全和知情同意至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
背景情况:
- 内镜逆行胆血管瘤造影 (ERCP) 是胰腺胆道疾病的重要程序.
- 在常见的内镜干预中,ERCP具有最高的不良事件 (AE) 率.
研究的目的:
- 提供关于ERCP相关不良事件的证据的全面审查.
- 提高对ERCPAE的理解,以改善患者护理和知情同意.
主要方法:
- 一个叙述性审查,综合了有关ERCP相关的AE的现有证据.
- 证据来源于包括PubMed,Embase和Cochrane在内的电子数据库.
- 针对不同领域进行了EA分析:定义,发病率,机制,危险因素,预防和管理.
主要成果:
- 详细检查了ERCPAE的定义,发病率,建议的机制,风险因素,预防策略以及ERCPAE的识别/管理.
- 强调在ERCP的研究和实践中需要标准化的AE定义.
结论:
- 了解与ERCP相关的AE对于优化外科手术护理至关重要.
- 标准化的AE定义和基于证据的风险因素知识应该指导临床决策和患者讨论.
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