十二指甲孔穿孔的内镜修复,一个范围审查审查
Jennifer Williams1, Hansa Joshi2, Michael Schwartz3
1Department of Surgery, Cooper University Hospital, 3 Cooper Plaza, Suite 411, Camden, NJ, 08103, USA. Williams-jennifer3@cooperhealth.edu.
Surgical endoscopy
|August 14, 2024
概括
十二指甲孔穿孔的内镜修复显示出作为主要治疗的前景. 这一范围审查强调了需要更多高质量的研究来支持这种新兴的对阳性损伤的方法.
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:
- 在手术和内镜文献之间存在关于十二指甲孔穿孔管理的不一致.
- 手术修复是标准的,但胃肠病学文献越来越多地推内镜修复,特别是在阳性穿孔时.
- 先进的内镜手术有助于增加阳性十二指肠穿孔的发生.
研究的目的:
- 进行一个范围审查,总结目前关于十二指肠孔径内镜修复的文献.
- 评估有关此主题现有研究的内容和质量.
- 为了确定内镜十二指甲孔穿孔修复的证据基础中的趋势和差距.
主要方法:
- 范围审查协议基于乔安娜·布里格斯研究所的指导方针.
- 包括在2022年2月之前 (1999年后) 报告内镜十二指甲孔修复初级结果的研究.
- 排除没有临床结果的研究,不明确的解剖位置,儿科或动物受试者.
主要成果:
- 152项研究符合从7606份选的摘要中包含的标准.
- 560名患者接受了内镜十二指肠穿孔修复,技术成功率为90.4%,存活率为86.7%.
- 74.5%的穿孔是阳性;只有一个RCT被确定,有53%的病例报告.
结论:
- 内镜修复可能成为十二指甲孔穿孔的可行的一线治疗方法.
- 显然,需要进行高质量的研究,包括随机对照试验.
- 需要进一步调查以确定最佳的内镜修复方案和结果.
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