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评估与ERCP相关的穿孔:一个单中心的回顾性研究
Feng Zhou1, Xiaoyun Zhan2, Dan Hu1
1Department of Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, P. R. China.
Gastroenterology report
|May 20, 2024
概括
内镜逆行胆血管细胞造影 (ERCP) 穿孔是罕见但严重的. 高龄,Billroth II解剖学,切割前缩切除术和气球扩张增加了ERCP穿孔风险,而癌症和SIRS预测了不良结果.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 手术并发症 手术并发症
背景情况:
- 透镜逆行胆瘤胆瘤学 (ERCP) 可以导致罕见但严重的穿孔.
- 了解风险因素和管理对于患者安全至关重要.
研究的目的:
- 评估ERCP相关穿孔的风险因素和管理策略.
- 为了确定ERCP穿孔后不良临床结果的预测因素.
主要方法:
- 从2007年1月到2022年3月,追溯分析了27018个ERCP程序.
- 提取医疗和内镜数据以评估风险因素,管理和结果.
主要成果:
- 在0.28%的患者 (76例) 中发生了ERCP穿孔.
- 危险因素包括晚年,Billroth II解剖学,切割前缩切除术和气球扩张.
- 癌症和全身炎症反应综合征 (SIRS) 与较差的结果有关.
结论:
- 特定的程序技术和患者因素增加了ERCP穿孔的风险.
- 早期识别和管理至关重要,癌症和SIRS表明预后更差.
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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