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相关概念视频

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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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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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...
129
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...
215
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

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Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
276
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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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
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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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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在EUS指导的胃肠静脉术中,使用直接针刺技术.

Judy A Trieu1, Todd H Baron1

  • 1Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina.

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|March 14, 2024
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概括
此摘要是机器生成的。

一种新的直接针刺技术使得成功的内镜超声波导向胃肠口术 (EUS-GE) 能够在没有导线的情况下实现. 这种方法在传统技术失败时有效缓解胃出口阻塞.

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科学领域:

  • 胃肠病学 胃肠病学
  • 内镜手术 进行内镜手术
  • 手术创新 在外科创新.

背景情况:

  • 内镜超声导向胃肠静脉切除术 (EUS-GE) 是一种已被公认的胃出口阻塞治疗方法.
  • 现有的EUS-GE技术往往需要引导导线穿过障碍物,这可能是具有挑战性或不可能的.
  • 需要使用EUS-GE的替代方法,适用于当导线通道不可行时.

研究的目的:

  • 描述和评估用于EUS-GE的直接针刺技术.
  • 为了证明EUS-GE创建的可行性而不依赖于导线通道.
  • 展示该技术在具有挑战性的临床场景中的应用.

主要方法:

  • 采用直接针刺技术,使用位于胃部的回声内镜.
  • 用19尺针刺穿胃和小肠壁,以便进入.
  • 小肠被液体膨胀,然后放置一个光线对立金属支架 (LAMS).

主要成果:

  • 直接针刺技术在4名患者中成功进行.
  • 迹象包括术后炎症,瘤透导致胃出口阻塞,以及改变解剖学的访问.
  • 该技术允许在没有导线操纵的情况下创建胃肠口.

结论:

  • 直接针刺技术为EUS-GE提供了一个可行的替代方案,当导线通道受到阻碍时.
  • 这种方法也有利于在改变解剖学的患者中访问特定的肠段.
  • 它扩大了EUS对复杂胃肠道干预的实用性.