成年人中由异物引起的十二指甲孔穿孔的内镜治疗:一项回顾性研究
Li-Yun Ma1, Zu-Qiang Liu1, Ye Wang2
1Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
United European gastroenterology journal
|December 30, 2023
概括
对经验丰富的内镜医生来说,内镜去除导致穿孔的十二指甲外体 (FBs) 是安全有效的. 外科手术只适用于大型或多个穿孔FB和严重感染的复杂病例.
科学领域:
- 胃肠病学 胃肠病学
- 手术内镜是指手术内镜.
- 外国机构管理的管理
背景情况:
- 由于异物 (FBs) 造成的十二指肠穿孔是一种罕见但至关重要的紧急情况.
- 传统上,手术干预是标准治疗方法.
- 内镜切除已经成为一种潜在的替代方案.
研究的目的:
- 评估成人十二指肠穿孔FBs的内镜管理的安全性和有效性.
- 为了比较内镜和手术干预之间的结果.
- 为了确定手术干预的预测因素.
主要方法:
- 从2004年10月到2022年10月,对12851名患有胃肠道FB的患者进行了回顾性审查.
- 纳入标准:十二指甲孔FBs的内镜/放射诊断.
- 对内镜切除成功率,不良事件和手术结果的数据分析.
主要成果:
- 在0.3%的患者中发生了十二指肠穿孔的FB.
- 在73.5% (25/34) 的病例中,内镜切除成功.
- 26.5% (9/34) 需要进行手术,特定的FB特征预测了手术的需要.
结论:
- 在经验丰富的手中,内镜切除是一种安全有效的第一线治疗十二指甲孔FBs.
- 对于FB>10厘米,双边穿孔,多个FB或严重感染,需要进行手术.
- 这项研究支持在特定情况下转向内镜治疗.
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