剪片的使用,以防止多眼切除术后的出血:临床审查
Matthew A O'Mara1, Peter G Emanuel1, Aaron Tabibzadeh2
1Division of Gastroenterology, NYU Langone Health, New York, NY, USA.
Journal of clinical gastroenterology
|July 15, 2024
概括
预防性剪贴有效地减少大,非形的多体的术后出血 (PPB),特别是在靠近结肠和服用抗血栓药物的患者中. 它们还可以控制大脚的息肉的立即出血.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 结肠镜对于检测和去除癌前病变至关重要.
- 切除术后出血 (PPB) 是结肠镜切除术后的一种潜在并发症.
- 预防PPB的预防性剪贴应用的有效性尚未最终确立.
研究的目的:
- 审查当前关于预防性剪贴在尽量减少多角切除术后出血的有效性的文献.
- 提供有关在临床实践中适当使用预防性片的专家指导.
主要方法:
- 使用PubMed和Embase进行了全面的文献搜索.
- 选了671篇出版物,并选择了67篇相关研究进行分析.
- 提取和合成了关于剪贴使用,聚特征和不良事件的数据.
主要成果:
- 预防性剪切对于非脚的多体≥20毫米最有利,特别是在近端结肠.
- 剪切较小或距离的息肉的好处不太确定.
- 服用抗血栓药物,特别是抗凝药的患者,可能会因为增加出血风险而受益于预防性剪切.
结论:
- 预防性剪贴有助于在去除大型非脚的息肉后预防延迟出血,特别是在靠近结肠和服用抗血栓药物的患者中.
- 对于大型脚的息肉,预防性剪切是有效的管理立即出血.
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