预防,检测和管理第三空间内镜的不良事件
Rohan Yewale1, Amit Daphale1, Ashish Gandhi1
1Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Erandwane, Pune, 411 004, India.
概括
第三种空间内镜 (TSE) 涉及诸如吸气问题,粘膜损伤和出血等风险. 了解和管理这些不良事件 (AE) 对于内镜手术的成功结果至关重要.
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
背景情况:
- 第三空间内镜 (TSE),也称为亚粘膜内镜,可以进入更深的胃肠层和腔.
- 它用于自然孔口腔透视内镜手术 (NOTES),具有独特的挑战和学习曲线.
研究的目的:
- 审查目前的证据和用于管理TSE中不良事件 (AE) 的实际指导方针.
- 为预防,早期发现和治疗TSE相关并发症提供见解.
主要方法:
- 对TSE程序和相关不良事件的文献综述.
- 根据类型,时间和严重程度对AE进行分类.
主要成果:
- 常见的副作用包括吸气相关事件,粘膜损伤和出血.
- 其他潜在的并发症包括感染,吸入性肺炎,疼痛,心跳不整,心律失常,输血和栓塞.
- 随着程序的复杂性,AE的发生率有所不同.
结论:
- 熟悉风险因素,技术提示和管理策略对于成功的TSE结果至关重要.
- 早期识别和迅速管理AE对于患者的安全和程序的成功至关重要.
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