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关于手术治疗椎间的SAGES指南
Shaun Daly1, Sunjay S Kumar2, Amelia T Collings3
1Department of Surgery, University of California, Irvine, CA, USA. ShaunMIS@yahoo.com.
Surgical endoscopy
|July 30, 2024
概括
专家指南建议在修复期间进行 fundoplication,尽管证据有限,但对椎 (HH) 治疗的专家指南建议在修复期间进行 fundoplication. 对无症状HH和复发病例的建议依赖于专家意见,强调共享决策.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 临床指南 临床指南
背景情况:
- 椎 (HH) 是一种普遍的疾病,需要明确的治疗指导.
- 一个多学科小组召开会议,制定基于证据的建议,用于HH管理.
- 目标是支持临床医生和患者在治疗决策中.
研究的目的:
- 制定基于证据的建议,用于成人椎的治疗.
- 解决有关手术干预的关键临床问题.
- 在复杂的HH案件中指导决策.
主要方法:
- 对四个关键的HH治疗问题进行了系统审查.
- 使用推,评估,开发和评估 (GRADE) 评级方法制定的建议.
- 专家意见补充了数据不足的证据;确定了未来的研究.
主要成果:
- 对于成年人HH,发布了一份有条件的建议和两份专家意见.
- 根据低确定性证据,在HH修复过程中建议进行常规的基囊复合.
- 对于无症状的HH修复或复发性HH的Roux-en-Y胃旁路 (RYGB) 证据是不够的,这导致了具有特定标准的专家意见.
结论:
- 建议旨在指导在椎间治疗中的手术决策.
- 强调共享决策和患者价值观,以获得最佳结果.
- 进一步的研究对于加强未来基于证据的指导方针至关重要.
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