干预性内镜超声波的并发症和管理:批判性审查
Carlo Fabbri1, Davide Scalvini2, Giuffrida Paolo1
1Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì, Italy.
Best practice & research. Clinical gastroenterology
|May 15, 2024
概括
干预性内镜超声波程序 (IEUSP) 越来越多地用于治疗. 本综述详细介绍了IEUSP的不良事件 (AE) 和管理策略,强调了标准化的需要.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 医疗器械技术 医疗器械技术
背景情况:
- 内镜超声波 (EUS) 从诊断工具演变为干预和治疗工具.
- 干预性内镜超声波程序 (IEUSP) 显示出高的技术和临床成功率,具有良好的安全性.
- 在IEUSP中对不良事件 (AE) 和其管理的标准化缺乏当前的文献.
研究的目的:
- 批判性地审查和描述与主要IEUSPs相关的AE.
- 为IEUSPs产生的内镜并发症提供管理策略的概述.
- 确定未来研究的需要和IEUSP中AE标准化的指导方针.
主要方法:
- 与干预性内镜超声波程序相关的不良事件的文献综述.
- 对IEUSP并发症现有的数据进行批判性分析.
- 对内镜并发症的管理策略的信息综合.
主要成果:
- 对各种IEUSP的特定AE的识别和描述.
- 关于管理IEUSP相关并发症的当前方法的概述.
- 突出了标准化的AE和管理协议的稀缺性.
结论:
- IEUSP是有效的和相对安全的,但AE需要更好的定义和管理.
- 对于IEUSPAE的标准化报告和管理准则至关重要.
- 需要进一步的研究,以建立IEUSP并发症管理的最佳实践.
相关概念视频
Ultrasound II: Endoscopic Ultrasound and FibroScan
101
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
101
Endoscopic Procedures V: ERCP
196
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
196
Endoscopic Procedures I: Esophagogastroduodenoscopy
106
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
106
Ultrasonography
4.5K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.5K
Endoscopic Procedures III: Video Capsule Endoscopy
136
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
136
Endoscopic Procedures II: Colonoscopy
89
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:
89


