在儿科ERCP中使用一次性终端盖的十二指望镜的初始经验:预防感染有代价
Monique T Barakat1, Andrew Liman2, Roberto Gugig2
1Division of Pediatric Gastroenterology and Hepatology, Department of Pediatrics, Lucile Packard Children's Hospital at Stanford University School of Medicine, Palo Alto, California, USA; Division of Gastroenterology and Hepatology, Department of Internal Medicine, Stanford University School of Medicine, Stanford, California, USA.
Gastrointestinal endoscopy
|March 10, 2024
概括
十二指镜上的一次性终端盖可能会增加ERCP的儿科患者的风险,导致更多的创伤和胰腺炎. 这些设备在儿科内镜中需要进一步的研究.
科学领域:
- 胃肠病学 胃肠病学
- 儿科内镜术 儿科内镜术
- 感染控制 感染控制
背景情况:
- 十二指望镜的单次使用端盖是为了减少感染传播而开发的.
- 它们在儿科患者中的安全性和有效性仍未得到研究.
研究的目的:
- 评估在儿科患者中使用带有一次性终端盖的十二指镜的临床结果和程序挑战.
主要方法:
- 一个回顾性审查的106个ERCP程序在1-18岁的患者.
- 使用一次性终端盖的十二指镜和可重复使用的十二指镜之间的结果比较.
主要成果:
- 使用一次性终端盖的程序显示粘膜创伤 (10vs0) 和ERCP后胰腺炎 (4vs1) 的增加.
- 在一次性使用的终端盖上,人们注意到更广泛地使用先进的管技术.
- 没有报告ERCP后感染,但挑战包括帽子硬和对齐问题.
结论:
- 带有一次性终端盖的十二指镜在儿科ERCP中存在挑战,包括进步困难和胰腺炎的增加率.
- 这些发现表明需要进一步调查儿童群体中使用一次性终端盖的使用情况.
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