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输内镜评估的失败 fundoplications 不同的内镜师之间的差异
Andrés R Latorre-Rodríguez1,2, Peter Kim3, Sumeet K Mittal4,5
1Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Road, Phoenix, AZ, 85013, USA.
Surgical endoscopy
|August 21, 2024
概括
外部内镜师经常错过了EGD报告中的关键细节,这些细节是为需要重复反流体手术 (ARS) 的患者提供的. 这凸显了对标准化报告和培训的需要,以提高诊断基因组复合失败的准确性.
科学领域:
- 胃肠病学 胃肠病学
- 在外科外科外科外科外科外科.
- 外科手术的结果
背景情况:
- 胃食道逆流性疾病 (GERD) 通常用腹腔镜抗逆流手术 (ARS) 治疗.
- 一部分患者由于治疗失败或并发症需要重新手术.
- 消化管胃管腺镜 (EGD) 对于通过评估基底复合完整性来规划重复ARS至关重要.
研究的目的:
- 将外部内镜师的EGD发现与内部内镜师 (手术外科医生) 的EGD发现进行比较.
- 在重复ARS之前,识别出基金聚合失败模式的文档中存在的差异.
主要方法:
- 在第三级中心接受重复ARS的患者的回顾性图表审查 (2016年11月 - 2023年3月).
- 包括具有外部和内部手术前EGD报告的患者.
- 在外部与内部EGD报告中记录的调查结果的比较分析.
主要成果:
- 分析了有可用EGD报告的181名患者.
- 外部报告较少提及之前的基金复制 (38.9%).
- 与外科医生相比,外部内镜医生报告的巴雷特食道,滑落,中断,胸内和扭曲的基底移植率明显较低.
结论:
- 对于失败的基金申请,EGD的外部报告往往不完整,缺乏关键细节.
- 差异源于培训和经验的差异,这些差异在评估后基复合解剖学方面存在.
- 建议制定标准化定义和加强培训,以提高诊断准确度.
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