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对于接受腹腔镜胃口术的儿童的预防性反流程序:重新思考常规实践的做法
Adrian Chi Heng Fung1, Yu Ning Ooi1, Ho Ming Hui1
1Department of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, Hong Kong.
World journal of surgery
|March 19, 2024
概括
在儿童的腹腔镜胃口术期间,预防性反流外科手术通常不需要. 手术前的pH值研究有助于识别可能受益的患者,避免更长的手术时间和与不必要的反流流程相关的更高的转化率.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 在儿科肠道营养中, laparoscopic gastrostomy 是常见的.
- 在胃口术期间进行预防性反流性手术的必要性受到争议.
研究的目的:
- 评估预防性反流性手术在接受腹腔镜胃口术的儿童中的作用和影响.
主要方法:
- 对79名没有先前存在的反流症的儿童进行了回顾性分析,他们接受了腹腔镜胃口术.
- 仅胃口术和胃口术与预防性反流体外科手术组之间的结果比较.
主要成果:
- 预防性反流体外科手术组的手术时间更长,转化率更高.
- 在任何一组中都没有重大并发症.
- 从新出现的逆流发生在11.6%的胃口术单独组,保守地管理.
结论:
- 常规的预防性反流体手术不适合使用.
- 手术前的pH值研究有助于选择患者进行抗反流手术,防止不必要的干预.
- 胃口切除术后新发反流的低率可以在没有手术的情况下进行管理.
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