相关实验视频
Updated: Jun 30, 2025

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.4K
在内镜扩张过程中程序变化的影响,以治疗异常性小结肠下狭窄症
Pooja Santapuram1, William S Tierney2, Li-Ching Huang3
1Department of Anesthesiology, Columbia University Irving Medical Center, New York, New York, U.S.A.
The Laryngoscope
|March 19, 2024
概括
异常性小结节狭窄症 (iSGS) 的治疗因机构而异. 辅助医学治疗,包括抗生素,类固醇和PPI,显示在ISGS的内镜扩张后,复发的短暂延迟.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
- 手术创新 在外科创新.
背景情况:
- 异常性小结节狭窄症 (iSGS) 是一种罕见的疾病,治疗中心有限.
- 对iSGS的内镜扩张 (ED) 技术存在显著的差异,但其特征不清楚.
- 程序变化的对iSGS结果的影响仍未得到充分研究.
研究的目的:
- 在高招生中心对iSGS的ED程序变化的特征.
- 研究iSGS患者的手术技术和临床结果之间的关系.
- 探索辅助医学治疗在管理iSGS复发中的作用.
主要方法:
- 对NoAAC iSGS1000队列的二次分析.
- 包括281名在13个高入学率中心接受ED治疗的患者.
- 利用等级集群分析来识别程序变化和结果.
主要成果:
- 在机构之间观察到ED程序细节和复发率的显著异质性.
- 在使用常规辅助三重医学疗法 (PPI,抗生素,类固醇吸入器) 的集群中,注意到疾病复发的短暂延迟.
- 患者报告的结果和峰值呼气流数据支持这种变化的潜在益处.
结论:
- 用于治疗ED的iSGS的程序技术和结果存在很大的差异.
- 常规辅助药物治疗表明复发的暂时延迟,由患者报告的数据支持.
- 有必要进行前性研究,以证实辅助药物治疗在预防ED后iSGS复发方面的疗效.
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
114
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:
During an EGD, the endoscope can be used to:
114
Esophageal Strictures-II: Clinical Features and Management
69
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
69
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
192
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
192
Esophageal Strictures-I: Introduction
91
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
91
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
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...
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...
80
Endotracheal Intubation I: Procedure
1.2K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.2K

