3dct导管和食道指标,一种有价值的方法来诊断袖子胃切除术后的异常
S T Alhayo1,2, M Guirgis3, C Siriwardene3
1Upper GI Unit, Department of Surgery, St George Hospital, Kogarah, NSW, 2217, Australia. sam.alhayo@gmail.com.
三维CT扫描 (3DCT) 可以在腹腔镜袖胃切除术 (LSG) 后识别导致反流的解剖异常. 特定的3DCT测量可以帮助预测LSG患者修复性手术的结果.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 逆流是腹腔镜袖子胃切除术 (LSG) 后的一个常见并发症.
- 胃管中的解剖学和功能变化可能会导致LSG后的反流.
- 三维CT扫描 (3DCT) 提供了胃管道的详细解剖可视化.
研究的目的:
- 建立特定的3DCT测量以识别LSG后的袖子异常.
- 为管理LSG并发症标准化3DCT报告.
- 为了将3DCT发现与临床症状和内镜结果相关联.
主要方法:
- 64名经过胃3DCT后LSG的患者的回顾性分析.
- 收集临床数据,包括LSG前的BMI和BMI在3DCT.
- 测量3DCT参数:角角 (AA),表面积 (ASA),管道长度 (CL),近距离最大表面积 (PMSA) 和远距离最大表面积 (DMSA).
- 根据内镜和症状学对患者进行分类;对修复性手术后的结果进行评估.
主要成果:
- 71.8%的患者出现了反流,反或消化不良.
- 下胃体积,ASA和DMSA与狭窄/反流症有显著的相关性.
- 特定的3DCT测量,包括ASA与DMSA的比率,与AA和修复手术的结果相关.
结论:
- 3DCT测量可以帮助定义LSG后狭窄,并预测修复手术的结果.
- 通过3DCT识别的解剖学异常可能表明通过正手术改善的潜力.
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