内镜套胃形成术:通过修改的Delphi方法识别关键的手术步骤
Stephanie Joseph1, Christopher E McGowan1, Pichamol Jirapinyo1
1Department of Surgery, NorthShore University Health System, Evanston, Illinois, United States.
概括
这项研究使用专家的共识建立了21个标准化步骤,用于内镜套胃形成术 (ESG). 这些指导方针旨在提高这种微创性减肥手术的安全性和有效性.
科学领域:
- 腹腔内镜检查 腹腔内镜检查 腹腔内镜检查
- 最少侵入性的手术
- 胃肠病学 胃肠病学
背景情况:
- 内镜套胃形成术 (ESG) 是一种针对肥胖症的微创性减肥手术.
- 它涉及缩短和 tubularizing 胃沿其更大的曲率.
- 由于ESG技术的差异,需要进行标准化.
研究的目的:
- 建立一个专家共识,对内镜外套胃形成术 (ESG) 的标准化技术.
- 为安全和有效的ESG程序创建一个标题.
- 解决当前ESG方法中的异质性.
主要方法:
- 修改后的Delphi方法采用了6名干预性胃肠病学专家和1名腹部外科医生.
- 调查对程序步骤进行了利克尔特等级 (1-5),随后进行了开放式的审核问题.
- 通过代轮,二进制问题和多数投票实现共识.
主要成果:
- 专家对步骤精度的评分在3轮 (4.2至4.4) 改进,最终评分为4.8.
- 在全厚度咬伤和组织旋转方面达成共识;在超管使用和形状方面注意到差异.
- 在4/5的专家中,同意基金应该保持完整.
结论:
- 通过专家的共识,为安全和有效的ESG制定了一个21步的协议.
- 这种标准化标题将促进机构和从业人员之间的一致性.
- 调查结果将支持创建教育工具,以加强ESG采用.
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