尾出血的临床特征,治疗方法和预后:一个案例系列研究
Xiao-Cun Xing1,2, Jin-Lin Yang1,2, Xue Xiao3,4
1Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, 37 Guoxue Lane, Chengdu, 610041, Sichuan, China.
BMC gastroenterology
|November 4, 2023
概括
尾出血是下胃肠道出血的一个罕见原因. 尾切除术是优先治疗方法,尽管可以考虑治疗性内镜和药物治疗这种具有挑战性的疾病.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 尾出血是一种罕见的,经常被忽视的胃肠道下部出血的原因.
- 关于尾出血的最佳管理策略,现实世界数据有限.
研究的目的:
- 为了分享超过20年的临床经验,管理尾出血.
- 阐明尾出血的诊断和治疗方法.
主要方法:
- 从2003年6月到2023年6月,对43095名胃肠道出血患者进行了回顾性分析.
- 纳入6名被诊断患有尾出血的患者进行详细的数据审查.
- 收集和分析临床数据,包括症状,诊断,治疗和结果.
主要成果:
- 尾出血占胃肠道出血病例的0.014%.
- 常见的病因包括尾血管扩张,尾炎和尾切除术后出血.
- 通过尾切除术,内镜治疗或药物治疗成功实现了血静止;一个病例是自我限制的.
结论:
- 诊断尾出血存在挑战;反复的内镜冲洗有助于诊断.
- 尾切除术是尾出血的首选治疗和诊断方法.
- 治疗内镜和药物治疗是基于个体病例需求的可行的替代方案.
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