静脉囊封闭部位狭窄的内镜治疗是安全有效的
Osama Jabi1, Nan Lan1, Akshay Pokala1
1The Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy, Columbia University Irving Medical Center/New York-Presbyterian Hospital, New York, NY, USA.
Gastroenterology report
|May 20, 2024
概括
内镜治疗,包括气球扩张和严格静脉切除术,在经皮囊手术后有效治疗静脉关闭部位狭窄. 这些程序提供症状缓解,并帮助患者避免手术.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 内镜手术 进行内镜手术
背景情况:
- 胃口关闭部位的狭窄是经皮囊手术后的常见并发症.
- 现有的文献缺乏关于内镜治疗静脉位狭窄的信息.
研究的目的:
- 评估内镜治疗静脉静脉关闭部位狭窄的安全性和有效性.
- 为了比较内透镜气球扩张 (EBD) 和严格urotomy/strictureplasty之间的结果.
主要方法:
- 对30名患者进行回顾性分析,这些患者患有静脉关闭部位狭窄,正在接受内镜治疗 (2018-2022年).
- 技术成功和无手术存活率的比较 EBD 和严格urotomy/strictureplasty.
- 收集了关于手术类型,狭窄时间,并发症和后续结果的数据.
主要成果:
- 在52项手术中的90.4% (16项EBD,36项严格肌切除/严格塑造手术) 取得了即时的技术成功.
- 在平均12.7个月的随访期间,没有患者需要为狭窄而进行手术.
- 66.7%的患者报告了症状改善;46.7%需要重新干预.
结论:
- 内镜气球扩张和严格肌肉切除/严格肌肉整形术是安全有效的,用于静脉关闭部位的狭窄.
- 这些内镜治疗提供了症状缓解,并可以帮助患者避免手术.
- 进一步的研究可能会探索最佳的再干预策略.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
144
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:
144
Ostomy Care
275
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
275
Peptic Ulcer Disease V: Surgical Management and Nursing Care
292
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
292
Esophageal Strictures-II: Clinical Features and Management
66
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
66
Drugs for Treatment of Constipation-Predominant IBS
160
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
160
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
73
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...
73


