产生原酶的细菌在结直肠外科手术后的静脉泄漏中很常见:系统性审查
Anders Bech Jørgensen1,2, Isabella Jonsson3, Lennart Friis-Hansen4,5,6
1Department of Surgery, Holbæk Hospital, Part of Copenhagen University Hospitals, Region Zealand, Denmark. dr.bech@gmail.com.
International journal of colorectal disease
|December 1, 2023
概括
产生原酶的肠道细菌在结直肠外科手术后出现解静脉泄漏 (AL) 的患者中更为普遍. 然而,从目前的研究来看,它们在这种并发症中的确切作用仍然不清楚.
科学领域:
- 胃肠病学和外科手术
- 微生物学 微生物学
- 临床研究 临床研究
背景情况:
- 肠道细菌可以产生原酶,这些酶会降解肠壁中的原.
- 这种酶活性可能有助于结直肠外科手术后的解静脉泄漏 (AL) 的病理生理学.
研究的目的:
- 在结直肠手术后,系统地审查和调查AL患者的原酶产生细菌的频率,与没有AL患者相比.
主要方法:
- 按照PRISMA和AMSTAR指南进行系统审查,并注册在PROSPERO.
- 在PubMed,EMBASE,Google Scholar和Cochrane CENTRAL中搜索相关的人类研究的文献.
- 包括15项与52,945名患者 (1,747名AL患者) 的观察性研究,分析来自各种样本来源的细菌学数据.
主要成果:
- 在15项涉及AL患者的研究中,在10项中发现了产生原酶的细菌.
- 没有研究量化了细菌的存在或原酶的产生.
- 样本材料,分析方法和收集时间存在显著的异质性;DNA测序研究没有报告这些细菌.
结论:
- 产生原酶的细菌更常见于AL后结肠直肠手术患者中.
- 在AL中这些特定细菌的临床意义和致病性仍未确定.
- 需要进一步的研究来阐明个体肠道细菌在解肠道泄漏中的作用.
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