患有复发性结肠分管出血的住院患者的危险因素:一个单一中心的经验
Hye-Su You1, Dong Hyun Kim1, Seo-Yeon Cho1
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Frontiers in medicine
|November 29, 2023
概括
经常出现的结肠分管出血 (CDB) 是常见的. 较高的并发病率得分和特定的分歧管位置增加了复发出血的风险,指导了临床管理.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 结肠分管出血 (CDB) 是急性下胃肠道出血的常见原因之一.
- 患有CDB的患者面临出血复发的重大风险.
- 了解复发性CDB (rCDB) 的风险因素对于患者管理至关重要.
研究的目的:
- 为了评估诊断出CDB的患者的临床过程.
- 为了确定与复发性结肠分管出血 (rCDB) 相关的独立风险因素.
主要方法:
- 一项回顾性队列研究包括2005年至2020年期间因CDB住院的219名患者.
- 考克斯比例危险回归分析被用来评估rCDB的风险因素.
- 模型根据年龄,查尔森并发症指数 (CCI) 和分离器分布 (双边,左侧,西格) 进行了调整.
主要成果:
- 在506天的中位数随访期间,28.3%的患者经历了rCDB.
- 高查尔森并发症指数 (CCI) 评分 (≥4) 与rCDB独立相关.
- 高龄 (≥75岁) 和双边或西格结肠分离体的存在也被确定为rCDB的独立风险因素.
结论:
- 复发性结肠分管出血 (rCDB) 是患有CDB病史的患者经常发生的一种事件.
- 较高的并发症负担 (CCI) 和分离器分布的特定模式 (双边,西格形) 是rCDB的重要预测因素.
- 对rCDB的临床评估应纳入患者的年龄,并发病状况以及结肠分泌器的解剖位置.
相关概念视频
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
190
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
190
01:30Inflammatory Bowel Disease II: Crohn's Disease
255
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
255
01:21Inflammatory Bowel Disease V: Surgical Management
148
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
148
01:28Esophageal Varices-II: Clinical Features and Management
72
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
72
01:17Chronic Bowel Disorders: Introduction
456
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
456
01:24Esophageal Varices-I: Introduction
150
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
150