在肝硬化的内镜的安全性
Jerome C Edelson1,2, Don C Rockey3,4,5
1Division of Gastroenterology and Hepatology, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
Digestive diseases and sciences
|July 8, 2024
概括
内镜手术对于肝硬化患者来说是安全的,与没有肝硬化患者相比,其并发症率相似或更低. 这项研究证实了内镜在肝硬化患者群体中的安全性.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 医疗程序 医疗程序
背景情况:
- 内镜手术很常见,严重不良事件的发生率为每1000人中1-3人.
- 在特定患者群体 (如肝硬化患者) 中,内镜的安全性需要仔细检查.
研究的目的:
- 评估肝硬化患者内镜手术的安全性.
- 为了比较经过内镜检查的肝硬化和非肝硬化患者之间的并发症率.
主要方法:
- 在一个主要的学术医疗中心进行了一项回顾性病例控制研究.
- 包括16,779名接受各种内镜手术的患者,肝硬化是由临床病理原因定义的.
- 主要结局是手术或手术后并发症.
主要成果:
- 总共分析了2618名肝硬化和14161名非肝硬化患者,整体并发症率为0.99%.
- 患有肝硬化患者的并发症率与食管胃管透镜 (0.6%对0.9%) 和ERCP (0.7%对1.4%) 类似或更低.
- 心肺并发症是最常见的 (67%),其次是手术并发症 (19%). 住院状态,心肌梗塞病史和EUS手术是危险因素.
结论:
- 与非肝硬化患者相比,内镜在肝硬化患者中同样安全或更安全.
- 这些发现支持内镜在治疗肝硬化患者中的使用.
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