小儿外科医生的上胃肠内镜:我们的早期经验
Adnan Sayeed1, Anand Alladi1, Venkatesh Kesarla Lakshmaiah1
1Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
Journal of Indian Association of Pediatric Surgeons
|June 24, 2024
概括
儿科外科医生可以有效地进行上部胃肠道 (UGI) 内镜检查,在儿科胃肠科医生无法提供时提供可行的和有益的替代方案. 这种方法改善了患者的管理,特别是在紧急情况下.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗程序 医疗程序
背景情况:
- 儿科上部胃肠道 (UGI) 内镜对于治疗儿童的胃肠道问题至关重要.
- 医疗胃肠科医生传统上进行UGI内镜检查,但其可用性有限,特别是在紧急情况下.
- 儿科外科医生提供了一个潜在的解决方案,以解决儿科胃肠科医生的短缺问题.
研究的目的:
- 评估儿童外科医生进行UGI内镜的可行性和益处.
- 评估儿科外科医生在通过内镜治疗儿科胃肠病理方面的作用.
主要方法:
- 从2017年1月到2022年1月进行了一项回顾性描述性研究.
- 分析了95名患者 (1-16岁) 的数据,他们接受了130次UGI内镜检查.
- 参数包括患者的人口统计,内镜的指示,执行的手术和并发症.
主要成果:
- 食道狭窄 (41名患者) 和UGI异物 (18名患者) 是UGI内镜最常见的指示.
- 进行了30次紧急手术.
- 发生了一种并发症 (扩张期间的穿孔),保守地管理.
结论:
- UGI内镜是一种有价值的诊断和治疗工具,可以由训练有素的儿科外科医生成功进行.
- 这种做法可以加快患者管理,减少对额外麻醉的需要,并在紧急情况下特别有用.
- 进行UGI内镜的儿科外科医生可以补充决策和改善护理.
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