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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
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.
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.
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