在选择性胆囊切除术之前,针对有症状的胆结石进行例行上部胃肠道内镜检查 - - 这是合理的
Sherwyn Morrison1, Taole Mokoena2
1Department of Surgery, Faculty of Health Sciences, University of Pretoria, Private Bag X323, Pretoria, 0001, South Africa.
Scientific reports
|June 18, 2024
概括
在切除胆囊 (胆囊切除术) 之前,常规的上部胃肠道 (UGI) 内镜在超过三分之一的症状胆结石患者中发现了显著的病理,证明了这种做法是合理的.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 胆结石在全球普遍存在,在发展中国家的发病率越来越高.
- 症状性胆结石可以导致严重的并发症,如急性胆囊炎,胆管炎和胰腺炎.
- 手术干预,胆囊切除术,是症状胆结石的标准治疗方法.
研究的目的:
- 评估在有症状的胆结石患者中例行术前上部胃肠道 (UGI) 内镜的实用性.
- 为了确定患有症状性胆结石胆囊切除术的患者中UGI病理的患病率和类型.
主要方法:
- 进行了一项前性横截面观察性研究.
- 招募了124名年龄在18岁及以上的患有症状胆结石 (不符合东京急性胆囊炎指南) 的患者.
- 在胆囊切除术之前进行了UGI内镜检查.
主要成果:
- 35.4%的患者表现出UGI病理,其中28.2%具有活跃的条件.
- 通常诊断的活性病理包括急性胃炎 (27.4%),胃潰瘍 (4.8%),十二指腸炎 (3.2%) 和食道炎 (2.4%).
- 十二名患者出现多种病理,需要在选择性胆囊切除术之前接受治疗.
结论:
- 在患有症状胆结石的患者中,常规的手术前UGI内镜显示出显著的并发病理.
- 这些发现支持手术前UGI内镜的常规使用,以诊断和管理胆囊切除术前的UGI并发条件.
- 这种做法有助于优化患者管理,并可能预防并发症.
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