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相关概念视频

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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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...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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...
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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:
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
94
Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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儿科ERCP:演变为门诊手术

Monique T Barakat1,2, Andrew Yong-Jueen Liman2, Roberto Gugig3,4

  • 1Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Digestive diseases and sciences
|February 28, 2024
PubMed
概括

门诊儿科ERCP (内镜逆行胆血管细胞造影) 是安全的,与住院手术相比没有增加不良事件. 这种方法可以考虑选择接受ERCP的儿科患者.

关键词:
内镜逆行胆瘤胆瘤学 (ERCP) 是一种内镜.门诊患者 门诊患者 门诊患者儿科 儿科 儿科质量质量质量质量质量质量质量质量.

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科学领域:

  • 胃肠病学 胃肠病学
  • 儿科内镜术 儿科内镜术
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 儿科ERCP (内镜逆行胆血管细胞造影) 通常是基于住院患者的.
  • 转向门诊儿科ERCP正在出现,以临床判断为指导.
  • 这项研究比较了门诊和住院儿科ERCP的结果.

研究的目的:

  • 在门诊和住院儿科ERCP之间比较患者特征,指示和不良事件.
  • 确定影响门诊与住院儿科ERCP决策的因素.
  • 评估门诊儿科ERCP的安全性.

主要方法:

  • 从2019年至2021年对儿科ERCP (年龄≤18) 的回顾性分析.
  • 收集的数据包括人口统计,住院状态,适应症,发现,干预措施和不良事件.
  • 门诊 (n=51) 和住院 (n=96) 组之间的比较.

主要成果:

  • 在门诊和住院组之间,没有观察到患者年龄,适应症或ERCP类型 (指数与后续) 的统计学上显著差异.
  • 在这两组中,与ERCP相关的不良事件的总体发生率都很低.
  • 在接受门诊和住院ERCP的儿科患者之间,不良事件没有显著差异.

结论:

  • 门诊儿科ERCP是选择患者的安全选择,与住院ERCP相比,不增加不良事件的风险.
  • 临床判断可以指导对门诊ERCP的儿科患者的安全选择.
  • 需要进一步的前性多中心研究来验证这些发现.