病:流行病学研究和对外科治疗预测因素的分析
Nadia Fathallah1, Amine Alam1, Anne L Rentien1
1Institut Léopold-Bellan, Service de Proctologie médicochirurgicale, Hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France.
Journal of visceral surgery
|April 5, 2024
概括
病管理通常涉及医疗或仪器治疗,但尽管存在潜在的并发症,但手术提供了更高的满意度. 确定预测手术需要的因素有助于医生指导患者选择,以获得更好的结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 临床研究 临床研究
背景情况:
- 病很常见,但法国关于其管理的流行病学数据很少.
- 了解治疗模式和结果对于优化患者护理至关重要.
研究的目的:
- 分析法国队伍中病的管理策略.
- 确定预测需要手术干预的因素.
- 评估治疗结果和患者满意度.
主要方法:
- 预期单中心研究于2021年7月至12月进行.
- 包括472名表现为出血疾病的患者.
- 收集有关症状,治疗方式和结果的数据.
主要成果:
- 采用了医疗 (44%),仪器 (72%) 和手术 (17%) 的治疗方法.
- 在治疗后观察到出血和落得分的显著降低.
- 与其他方法 (54%) 相比,手术治疗带来了更高的患者满意度 (73%).
- 预测手术的因素包括年龄超过44岁,皮肤标签,高症状得分和吸烟.
结论:
- 虽然只有不到20%的患者需要为出血疾病进行手术,但它具有卓越的有效性.
- 确定手术需要的预测因素可以帮助临床医生在治疗决策中.
- 开发了一个在线工具来评估需要手术的风险.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
Peptic Ulcer Disease V: Surgical Management and Nursing Care
302
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
Surgical Interventions for Peptic Ulcer Disease
302
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60
Assessment of the Rectum and Anus
208
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
208
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


