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患有腹膜切除术的患者的手术前评估:一个横截面研究
M R Tawfik1,2, N F Aldawas1, N S Almegbil3
1King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia.
Gastroenterology research and practice
|September 12, 2024
概括
在减肥手术前的常规上部内镜检查显示,即使在无症状患者中,异常发现和Helicobacter pylori (HP) 感染率很高,即使在无症状患者中. 这凸显了手术前查对于更好的外科结果的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 内镜检查是指内镜检查.
背景情况:
- 沙特阿拉伯每年都会进行大量的减肥手术.
- 为减肥手术患者进行手术前的上部内镜仍然是关于其必要性和范围的辩论的主题.
- 了解内镜检测结果和Helicobacter pylori (HP) 感染对于优化患者护理至关重要.
研究的目的:
- 调查腹腔镜袖子胃切除术 (LSG) 患者内镜检查结果和HP感染的患病率.
- 为了比较症状和无症状患者在减肥手术前的发现.
主要方法:
- 预计进行LSG的132名患者的队列接受了手术前食道胃管腺镜检查 (EGD).
- 收集的数据包括患者的人口统计,BMI,胃肠道症状,并发症和EGD发现 (食道,胃,十二指肠).
- 活检样本被分析为HP感染.
主要成果:
- 55.7%的患者有积极的内镜检测结果,包括心脏无能 (35.6%),腹腔胃炎 (34.1%) 和十二指肠炎 (7.8%).
- 在35.0%的患者中检测到HP感染,在BMI较高的患者中患病率略高.
- 即使是无症状的患者也显示出显著的发现,其中26.6%的HP检测结果为阳性,并且有显著的反流食道炎和椎间的发病率.
结论:
- 常规的手术前内镜在减肥手术候选人中发现了胃肠道异常和HP感染的高患病率.
- 这些发现甚至在没有胃肠道症状的患者中也存在,这强调了手术前EGD的价值.
- 在手术前确定这些情况可以为手术规划和术后管理提供信息.
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