常规上胃肠道系列 腹腔外科手术后:预测因素,使用和实用性
Ketan Dayma1, Aruna David2, Adil Omer2
1Department of Radiology, SUNY Upstate Medical University, Syracuse, NY, 13210, USA.
Obesity surgery
|April 2, 2024
概括
在减肥手术后的常规上部胃肠道 (UGI) 系列成像对于检测泄漏的价值有限. 图像决定应以临床症状为指导,而不是常规方案,特别是在胃旁路术后.
科学领域:
- 腹部外科 腹部外科
- 胃肠道成像技术 胃肠道成像技术
- 手术并发症 手术并发症
背景情况:
- 手术后的上部胃肠道 (UGI) 系列有时用于检测减肥手术后的并发症.
- 在手术后的立即期内,常规UGI成像的实用性需要进一步研究.
研究的目的:
- 评估常规上部胃肠道 (UGI) 系列的使用和诊断价值,以检测腹手术后的泄漏和其他并发症.
- 确定影响执行例行术后UGI成像的决定的因素.
主要方法:
- 在2008年至2012年期间接受了减肥手术 (胃绕道或袖子胃切除术) 的患者的回顾性评估.
- 分析常规UGI系列的发现,并发症和患者人口统计数据.
主要成果:
- 135名患者 (23%) 接受了常规的UGI成像检查;127名患者经过胃绕道和8名患者经过袖子胃切除术.
- 在UGI系列中,在胃绕道术患者中只发现1个确定的泄漏;在袖子胃切除术患者中没有发现泄漏,也没有在77%没有接受成像的患者中发现泄漏.
- 泄漏检测的灵敏度为100%,但胃绕道术患者的积极预测值仅为20%. 袖子胃切除术和男性性别降低了常规UGI的可能性.
结论:
- 常规的UGI系列成像在胃绕道和袖子胃切除术后检测道泄漏的价值有限.
- 手术后成像应该基于临床参数,而不是常规协议.
- 胃绕道和女性性别与常规UGI成像的可能性增加有关;需要进一步的研究.
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