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萨尔科佩尼亚对胃内镜下粘膜切割的短期结果的影响

Hironori Tanaka¹, Taro Iwatsubo^2,3, Shun Sasaki¹

¹Second Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.

Surgical endoscopy

|June 12, 2024

概括

通过SARC-F+EBM识别的肉类,在胃内镜下粘膜解剖 (ESD) 后不会预测不良事件. 然而,由于非ESD相关的因素,sarcopenic患者可能会经历更长的住院时间.

科学领域:

胃肠病学胃肠病学
老年病的医生老年病的医生
内部医学内部医学

背景情况:

萨科佩尼亚与胃内镜下粘膜切割 (ESD) 后的不良短期结果有关.
在SARC-F调查问卷选肉类,但SARC-F+EBM (包括年龄和BMI) 可能更有效.
之前的研究表明,肉症对胃ESD后的短期结果产生影响.

研究的目的:

调查SARC-F+EBM评估的肉类症与胃ESD后的短期结果之间的关联.
为了确定肉症是否预测不良事件或长时间住院后胃ESD.
评估SARC-F+EBM在预测胃ESD的结果中的实用性.

主要方法:

对于接受胃ESD的患者的医疗记录的回顾性审查 (2020年5月 - 2023年6月).
萨科佩尼亚定义为SARC-F+EBM得分≥12 .
在sarcopenia与非sarcopenia组中评估不良事件发生率和住院时间.

主要成果:

包括263名患者;64名在肉症组,199名在非肉症组.
两组之间不存在不良事件发生率 (等级≥3) 的显著差异 (6.2%与8.5%).
在肉症组中,延长住院时间 (≥10天) 的比例显著更高 (12.5%对3.5%,p=0.012).
麻症和技术上困难的病变是延长住院的独立风险因素.

结论:

通过SARC-F+EBM评估的肉症不是胃ESD后不良事件的预测因素.
患有肉类的患者可能需要更长的住院时间,通常是由于与ESD程序无关的因素.
SARC-F+EBM可能有助于识别患有长期住院风险的患者,需要进一步调查非程序性促成因素.

关键词:

内镜下粘膜切割进行内镜下粘膜切割.在SARC-F中,有很多人.在SARC-F+EBM中.萨尔科佩尼亚是什么意思萨尔科佩尼亚

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