与第三空间内镜手术相关的并发症
Rami El Abiad1, Munish Ashat1, Mouen Khashab2
1Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Best practice & research. Clinical gastroenterology
|August 29, 2024
概括
第三种空间内镜 (TSE),特别是口腔内镜肌切除术 (POEM),可能导致出血和感染等并发症. 该审查确定了风险,并建议在POEM程序中管理不良事件的干预措施.
科学领域:
- 胃肠病学和内镜检查
- 最少侵入性的手术
背景情况:
- 第三种空间内镜 (TSE) 为胃肠道 (GI) 疾病提供了多种治疗方法.
- 透口内镜肌切除术 (POEM) 是一种突出的TSE手术,应用范围不断扩大.
研究的目的:
- 审查与POEM相关的潜在并发症.
- 识别导致不良事件的风险因素.
- 为POEM相关并发症推救援干预措施.
主要方法:
- 在第三空间内镜中对不良事件的文献综述.
- 对口腔内镜肌肉切除术常见并发症的分析.
- 基于证据的建议,用于并发症管理.
主要成果:
- 常见的POEM并发症包括吸气损伤,出血,粘膜屏障缺陷,感染,疼痛,肌瘤缺陷和GERD.
- 确定了这些不良事件的危险因素.
- 讨论了有效的救援干预措施.
结论:
- 了解POEM陷对于患者安全至关重要.
- 积极的风险识别和管理可以最大限度地减少不良事件.
- 适当的救援策略可以提高TSE程序的结果.
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