通过口腔内镜肌肉切除术在同一天排出的安全性和可行性
Jun Young Kim1, Michael Chieng2, Rees Cameron2
1Waikato Hospital.
The New Zealand medical journal
|August 22, 2024
概括
经过口腔内镜肌切除术 (POEM) 治疗阿喀拉西亚后的当日排泄 (SDD) 是安全有效的. 这种方法,通过早期饮食和疼痛管理来促进,可以减少住院和医院费用.
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
- 外科手术的结果
背景情况:
- 通过口腔内镜肌切除术 (POEM) 是一种标准的治疗 achalasia.
- 目前的做法通常涉及住院入院进行监测和饮食进展.
- 同日放电 (SDD) 提供了潜在的时间和成本节省.
研究的目的:
- 为了调查在口腔内镜肌切除术 (POEM) 后同日放出 (SDD) 的安全性和可行性.
主要方法:
- 在两个中心对50个连续的POEM程序进行了前性研究.
- 根据早期饮食引入后的症状管理,评估患者是否符合SDD的资格.
- 收集的数据包括释放清算率,并发症和再录取.
主要成果:
- 82%的患者被清除了SDD,70%的人在同一天获得了出院.
- 96%的患者住院时间不到24小时.
- 观察到并发症率低 (6%) 和再入院率低 (4%).
结论:
- 可以安全地执行POEM作为当天放电程序.
- 早期的饮食引入和自由的止痛疗法有助于SDD.
- 在POEM后SDD不需要例行成像和内镜检查.
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