相关实验视频
Updated: Jun 22, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.4K
针对炎症性肠道疾病的紧急腹部手术的紧急调整结果
J A Bunce1, J N Lund2, G M Tierney2
1Faculty of Medicine, Division of Health Sciences and Graduate Entry Medicine, Department of Colorectal Surgery, University of Nottingham at Derby, Royal Derby Hospital, Clinical Research Fellow, Royal Derby Hospital, Derby, UK.
World journal of surgery
|June 30, 2024
概括
炎症性肠病 (IBD) 患者的紧急手术显示出不同的结果. 风险评估和管理必须考虑到克罗恩病和性结肠炎患者的患者指标和生理状态的差异.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 临床流行病学临床流行病学
背景情况:
- 炎症性肠病 (IBD) 的紧急腹部手术是复杂的,在文献中代表性不足.
- 在IBD手术中定义"紧急情况"缺乏共识,使风险评估复杂化.
- 最近的工作重点是定义临床紧急情况和高风险的手术患者.
研究的目的:
- 分析患者的指标和风险在紧急IBD手术使用国家紧急 laparotomy审计 (NELA) 数据.
- 根据手术紧急情况,比较患者的特征,生理学,生物化学和结果.
- 为了确定克罗恩病 (CD) 和性结肠炎 (UC) 患者的风险概况的差异.
主要方法:
- 利用了NELA数据库 (2013-2016) 完整的患者数据,包括组织学.
- 分类的手术紧急情况为<2h,2-6h,6-18h和>18h.
- 采用回归分析来比较患者指标和紧急情况类别的结果.
主要成果:
- 在CD中死亡率在1.4% (>18h) 到14.6% (最紧急) 之间.
- 在UC的死亡率从3.1% (>18h) 到14.8% (最紧急).
- 对CD和UC的血液动力学不稳定性,白细胞数量,电解质,肌素,停留时间和返回剧院的显著趋势.
结论:
- 紧急IBD手术患者在生理学,生物化学或结果方面不是一个均的群体.
- 风险咨询和管理策略需要基于患者特定因素的个性化.
- 在这种队列中,细微的血液动力学变化可能会被忽视,需要仔细监测.
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
139
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:
139
01:30Inflammatory Bowel Disease II: Crohn's Disease
212
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
212
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160
01:29Appendicitis-II: Diagnostic Studies and Management
74
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
74
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
71
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...
71
01:17Chronic Bowel Disorders: Introduction
439
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
439