胃口切割:在26年的时间里,在高等医疗中心的三种模式的经验和并发症
Ana Piñar-Gutiérrez1, Pilar Serrano-Aguayo1, Rocío Vázquez Gutiérrez1
1UGC Endocrinología y Nutrición, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Frontiers in medicine
|November 2, 2023
概括
通过比较胃口技术,内镜 (PEG) 和放射学 (PRG) 方法,比手术 (SG) 方法更少的并发症. 大多数胃口术在小问题下是安全的.
科学领域:
- 胃肠病学 胃肠病学
- 手术手术手术手术手术手术手术手术手术手术
- 医疗器械技术 医疗器械技术
背景情况:
- 胃口术对于各种疾病的营养支持至关重要.
- 有不同的技术存在,包括穿皮内镜胃口术 (PEG),放射 (PRG) 和手术 (SG),每个都有不断发展的方法.
- 了解这些技术的并发症率对于患者护理至关重要.
研究的目的:
- 为了比较不同胃口技术的并发症率:PEG,PRG和SG.
- 分析PEG (PULL与PUSH) 和PRG (猪尾,气球,气球与胃力学) 内的技术变化.
- 评估 SG 从传统 (CSG) 到腹腔镜辅助皮间胃口术 (PLAG) 的演变.
主要方法:
- 从1995年到2021年,对1070名经过胃口切除术的患者进行了回顾性观察性研究.
- 详细分析PEG,PRG和SG技术及其随时间变化的具体变化.
- 使用费舍尔测试的并发症率的统计比较.
主要成果:
- PEG-PUSH (23.7%) 和气球与胃性PRG (29.7%) 的并发症率最低.
- 传统的手术胃口切除 (CSG) 显示了最高的并发症率 (87.3%).
- 总体而言,胃口术相关的死亡率很低 (0.18%),腹膜炎和胃口是显著的并发症.
结论:
- 胃口切除手术,无论技术如何,一般都是安全的,严重并发症的发生率很低.
- 经过PEG-PUSH和修改后的PRG技术证明了更好的安全性.
- 手术技术,特别是传统方法,与更高的并发症风险有关.
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