北美专家一致认为,在使用德尔菲过程进行口腔内镜肌肉切除后,对患者的手术后护理
Dennis Yang1, Abdul Mohammed2, Rena Yadlapati3
1Center for Interventional Endoscopy, AdventHealth, Orlando, Florida.
概括
专家们就口腔内镜肌切除术 (POEM) 后期护理的关键方面达成共识,包括为特定患者在同一天出院和反流监测. 本指南针对POEM后患者管理的变化.
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
- 临床共识 临床共识
背景情况:
- 在经过口腔内镜肌切除术 (POEM) 后的患者的管理中存在显著的变化.
- 缺乏高质量的证据导致不一致的POEM后护理协议.
研究的目的:
- 建立有关POEM后患者护理关键方面的专家共识.
- 为了解决POEM后即时和长期管理的变化.
主要方法:
- 使用了经过修改的Delphi过程,涉及34名专家.
- 5个领域的33个陈述问卷指导了建立共识的过程.
- 定量和定性数据分析取得了共识.
主要成果:
- 在23项关于POEM后护理的声明中达成了高度共识.
- 关键协议包括选择患者在同一天出院,单剂量抗生素,饮食进步,以及强制性反流监测.
- 在POEM后食道图用于泄漏评估的常规使用方面没有达成共识.
结论:
- 这个德尔菲过程为POEM后的患者管理提供了实用,专家支持的指导.
- 建立的共识旨在标准化和改善接受POEM患者的护理.
- 这些发现解决了POEM后期护理中以前讨论过的几个重要问题.
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