胃口口径阻塞的危险因素 对于性结肠炎的前腔切除术后的胃口口径阻塞的危险因素
Keisuke Ihara1,2, Takatoshi Nakamura1,2, Masashi Takayanagi2
1Center for Colorectal Surgery, Dokkyo Medical University Hospital, Shimotsuga, Japan.
Journal of the anus, rectum and colon
|February 5, 2024
概括
在性结肠炎 (UC) 手术后,胃口出口阻塞 (SOO) 是常见的. 高剂量的类固醇,低腹内脂肪和腹腔镜手术增加了SOO的风险.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 胃口出口阻塞 (SOO) 影响了大约40%的因性结肠炎 (UC) 进行直肠切除术的患者,其中有转向性结肠切除术.
- 确定SOO的风险因素对于改善患者的治疗结果和外科手术规划至关重要.
研究的目的:
- 在性结肠炎 (UC) 患者中,以转移性结肠切除术后,鉴定与出口阻塞 (SOO) 相关的临床病理学和解剖学风险因素.
主要方法:
- 在2006年4月至2021年9月期间,对68名UC患者进行了直肠切除术和转移性静脉切除术的回顾性分析.
- 评估临床病理学和解剖学因素,以确定与SOO发展的相关性.
- 由需要干预的小肠阻塞症状定义的SOO.
主要成果:
- SOO (Clavien-Dindo II级或更高) 在16%的患者中发生.
- SOO的显著风险因素包括更高的手术前类固醇剂量 (p = 0.02),减少腹内脂肪 (p = 0.04) 和腹腔镜外科手术方法 (p < 0.01).
- 由于SOO,六名患者需要提前关闭口腔.
结论:
- 高的手术前类固醇剂量,最小的腹腔内脂肪和腹腔镜手术是UC前科切除术后SOO的重要危险因素.
- 早期检测和管理策略对于有SOO风险的患者至关重要.
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