相关实验视频

Updated: Jun 28, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

复发性胃腹血管抽血:一个单一的中心经验

Andrea Cavallaro¹, Antonio Zanghì², Maria Di Vita¹

¹General Surgery III, Department of Surgery, University of Catania, AOU Policlinico "G. Rodolico - San Marco," Catania, Italy.

Frontiers in surgery

|April 18, 2024

概括

阿贡血凝固 (APC) 是一种安全有效的内镜治疗胃内血管抽血 (GAVE),这是胃肠道出血的罕见原因. 虽然通常是成功的,但由于疾病复发,一些患者可能需要重复治疗或手术.

科学领域:

胃肠病学胃肠病学
内镜检查是指内镜检查.
血管医学血管医学

背景情况:

胃腹腔血管抽血 (GAVE) 是上部胃肠道出血的不常见原因,约占病例的4%.
GAVE经常与包括肝硬化,慢性功能衰竭,自身免疫疾病,糖尿病,甲状腺功能低下和心血管疾病在内的全身性疾病有关.
确切的GAVE病原发生原因尚不清楚,并且是正在进行的研究的主题.

研究的目的:

评估内镜血凝血 (APC) 在治疗胃内血管血管脱血 (GAVE) 患者的安全性和有效性.
评估GAVE的APC治疗后的长期结果和进一步干预的需要.

主要方法:

在消化器外科病房治疗的GAVE病例的回顾性审查.
确定了9名GAVE患者,并接受了内镜APC治疗.
分析了8名患者的随访数据,平均36个月后.

主要成果:

内镜APC证明了在实现血液静止时的安全性和有效性,用于出血的血管抽血.
仅有一名患者 (11.1%) 需要手术干预,原因是多次失败的内镜治疗后血液动力学不稳定.
在研究队列中没有观察到手术前或术后并发症或出血复发.

结论:

内镜APC是一种技术上简单的GAVE治疗方法,但由于复发可能需要多次重新干预.
需要进行更大规模的随机对照试验,以评估选择性手术作为严重GAVE稳定患者的初级干预的作用.
进一步的研究还应该集中在确定内镜治疗失败后手术干预的最佳时间.

关键词:

这是APC的APC.给了他们一个礼物.在RFA RFA RFA.安特拉血管抽血症 (antral vascular ectasia) 是一种导致血管抽血的疾病.手术手术手术手术手术手术手术治疗治疗治疗治疗治疗治疗

更多相关视频

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

相关概念视频

Esophageal Varices-II: Clinical Features and Management

Esophageal Varices-II: Clinical Features and Management

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...

Esophageal Varices-I: Introduction

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...