胃电刺激器的结果,有或没有pyloromyotomy,用于耐火性胃衰竭
Pauline Aeschbacher1,2, Angelica Garcia1, Justin Dourado3
1Department of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.
Surgical endoscopy
|August 7, 2024
概括
将pyloromyotomy添加到胃电刺激器 (GES) 植入中可能会改善耐火性胃的治疗成功. 与单独使用GES相比,这种综合方法显示出类似的安全性和住院时间,特别有利于糖尿病胃症患者.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗器械技术 医疗器械技术
背景情况:
- 耐火性胃衰竭的管理选择包括pyloromyotomy和胃电刺激器 (GES) 植入.
- 结合GES与pyloromyotomy用于胃衰竭的疗效尚不清楚.
研究的目的:
- 为了评估与Pyloromyotomy和GES植入并发的疗效和安全性,与GES单独植入于耐火性胃衰竭患者.
- 确定联合手术方法是否能改善临床结果和降低再干预率.
主要方法:
- 在2003年至2023年期间,对134名经过GES植入的耐火性胃衰竭患者进行了回顾性队列分析.
- 与患者同时接受螺旋骨髓瘤切除术 (n=40) 和未接受螺旋骨髓瘤切除术 (n=91) 之间的结局比较.
- 主要终点:临床反应持续时间和成功率;次要终点:术后并发症和停留时间.
主要成果:
- 在整体或主要的术后并发症或组间停留时间方面没有显著差异.
- 在结合型肌痛动脉手术和GES组 (5年成功率更高的趋势 (82%与62%对比).
- 同时进行螺旋骨髓瘤切除与治疗失败的风险显著降低相关 (HR 2.66,p=0.044).
结论:
- 在GES植入期间的pyloromyotomy似乎在胃衰竭患者中延长了临床反应.
- 综合方法表明,仅GES的安全性和住院时间是可比的.
- 糖尿病胃衰竭患者可能特别受益于结合GES和pyloromyotomy程序.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
264
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
264
Gastric Motility
546
Gastric motility is the coordinated contraction and relaxation of stomach muscles that convert ingested food into chyme, a semi-liquid substance ready for further digestion in the intestines. The process begins with the vagus nerve inducing the relaxation of the smooth muscles in the fundus and body of the stomach, allowing these regions to expand and accommodate up to approximately 1.5 liters of food and liquid.
Peristaltic Waves and Chyme Formation
Upon food entry, the stomach initiates...
Peristaltic Waves and Chyme Formation
Upon food entry, the stomach initiates...
546
Gastroesophageal Reflux Disease II: Clinical Features and Management
64
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
64
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
95
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
95


