在上胃肠道手术后改变解剖学的出血的内镜管理
Giulia Gibiino1, Cecilia Binda1, Matteo Secco1
1Gastroenterology and Digestive Endoscopy Unit Ospedale Morgagni-Pierantoni, Forlì-Ospedale M. Bufalini, Cesena-AUSL, 47521 Romagna, Italy.
Medicina (Kaunas, Lithuania)
|November 25, 2023
概括
本综述涵盖了术后上部胃肠道出血的内镜血静治疗,用于改变解剖的患者. 它为管理这些复杂出血病例的临床医生提供了指导.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 手术后的非变节性上部胃肠道出血影响高达2%的患者.
- 迫切的食管胃管透镜 (EGD) 和内透镜血静通常是必要的.
- 手术后改变的解剖学在控制出血方面带来了独特的挑战.
研究的目的:
- 审查当前关于内镜血液静止在改变解剖的上部肠道出血的证据.
- 为管理这些复杂病例的临床医生提供最新的指导.
- 为了确定未来研究内镜血液静止的领域.
主要方法:
- 现有文献的叙述性审查.
- 专注于内镜静血技术和装置.
- 考虑各种手术背景 (瘤学,减肥).
主要成果:
- 增加可用的静血装置的疗效.
- 由于解剖学变异和手术史,管理是复杂的.
- 即使在具有挑战性的情况下,也可以成功实现静血.
结论:
- 内镜静血对于术后上部胃肠道出血在改变的解剖学中至关重要.
- 由于技术和设备的不断发展,临床医生需要更新指导.
- 需要进一步的研究来优化管理策略.
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