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相关概念视频

Inflammatory Bowel Disease V: Surgical Management01:21

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:
145
Drugs for Treatment of Ulcerative Colitis in IBD01:29

Drugs for Treatment of Ulcerative Colitis in IBD

138
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
172
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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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
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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在性结肠炎的细分结肠切除术.

Sumeyye Yilmaz1, Rebecca L Gunter, Arielle E Kanters

  • 1Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.

Diseases of the colon and rectum
|April 23, 2024
PubMed
概括
此摘要是机器生成的。

对于性结肠炎的细分切除术显示了选择患者的低并发症率和良好的长期结果. 这种手术对于患有静止性结肠炎或其他特定症状的老年人来说可能是一个安全的选择.

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科学领域:

  • 胃肠病学 胃肠病学
  • 结肠直肠手术 结肠直肠手术
  • 炎症性肠病 (IBD) 是一种炎症性肠病.

背景情况:

  • 分段切除术是性结肠炎 (UC) 患者的手术选择,这些患者患有术后并发症风险增加.
  • 在UC中确定细分切除术的最佳候选人对于改善患者的治疗结果至关重要.

研究的目的:

  • 评估经过细分切除术的性结肠炎患者的术后和长期结果.
  • 为了确定影响UC患者进行细分切除术的结果的因素.

主要方法:

  • 在第三级护理中心进行的回顾性病例系列 炎症性肠病 (IBD) 中心.
  • 对55名UC患者的分析,这些患者在1995年至2022年期间接受了细分切除术.
  • 评估的结果包括术后并发症,早期/晚期结肠炎,超慢性癌症,无结肠切除术的存活率和静脉瘤率.

主要成果:

  • 该研究包括55名患者 (36.4%为女性,平均年龄为67.8岁),其中58.2%的ASA得分为3和87.3%的并发症.
  • 术后并发症发生在29.1%的患者 (12.7%的Clavien-Dindo III-V类). 早期和晚期结肠炎的发病率分别为9.1%和14.5%.
  • 两年和五年无直肠切除术生存率分别为91%和88%,其中10.9%需要在随访时进行静脉栓塞.

结论:

  • 在UC中,细分结肠切除与低的术后并发症率,早期/晚期结肠炎和超慢性癌症有关.
  • 该程序显示了有利的长期结果,包括高的无直肠切除术生存率.
  • 对某些UC患者而言,细分切除术是安全的考虑,特别是患有静止疾病或其他特定症状的老年人.