儿科穿皮内镜胃口术后的并发症:推拉技术的比较
Mona Takalo1, Tarja Iber2, Reija Autio3
1Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
World journal of pediatric surgery
|January 31, 2024
概括
皮肤内镜胃口术 (PEG) 在儿童中具有很高的并发症率. 推力技术比拉力技术更安全,并发症和重复手术较少.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
背景情况:
- 穿皮内镜胃口术 (PEG) 是儿童常见的一种手术.
- 与PEG程序相关的并发症可能是显著的.
- 对于PEG放置的推进技术越来越多地被使用,但其安全概况需要进一步描述.
研究的目的:
- 评估儿科患者PEG手术的整体并发症率.
- 为了比较推与拉PEG技术的安全性和并发症概况.
- 为了确定与儿童胃口切除相关的长期发病率.
主要方法:
- 在2002年至2020年期间接受PEG手术的儿科患者的回顾性评估.
- 对推拉技术的并发症率,类型 (小/大) 和重新操作率的分析.
- 评估长期随访数据以评估发病率.
主要成果:
- 在216名儿童中,共进行了217次PEG手术;64%使用推力技术,36%使用拉力技术.
- 整体并发症率高达57%,并发症发生在手术后数年.
- 与推力技术组相比,拉力技术组的轻微并发症率 (63%对48%) 和重复手术率 (17%对7%) 较高.
结论:
- 儿童的PEG手术与高的整体并发症率有关,尽管大多数是轻微的.
- 推动PEG技术显示出比传统拉动技术更安全的特征.
- 儿童的胃口切除可以导致显著的长期发病率.
关键词:
胃肠病学 胃肠病学相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
148
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
148
Esophageal Perforation-II: Clinical Manifestations and Management
64
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
64
Endoscopic Procedures V: ERCP
232
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
232
Endoscopic Procedures I: Esophagogastroduodenoscopy
118
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
118
Peptic Ulcer Disease V: Surgical Management and Nursing Care
305
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
305
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88


