在双气球内镜和结直肠下粘膜剖析后,深静脉血栓的发病率较低:多中心,前性研究
Tomoya Sugiyama1, Takahito Katano2, Takaya Shimura2
1Department of Gastroenterology, Aichi Medical University, Nagakute, Japan.
Endoscopy international open
|November 29, 2024
概括
深静脉血栓 (DVT) 和肺栓塞 (PE) 的风险在结直肠内镜下粘膜切割 (ESD) 和双气球内镜 (DBE) 后非常低. 这项研究发现,在接受这些侵入性内镜手术的患者中,DVT/PE发病率最低.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 医疗程序 医疗程序
背景情况:
- 深静脉血栓 (DVT) 和肺栓塞 (PE) 是显著的术后风险.
- 在内镜手术,特别是结肠直肠内镜下层剖析 (ESD) 和双气球内镜 (DBE) 后出现 DVT/PE 的风险尚未得到充分证实.
研究的目的:
- 在结直肠ESD和DBE之后,前性地评估DVT和PE的发病率.
- 确定和量化与这些特定的侵入性内镜干预相关的风险.
主要方法:
- 一项前性研究招募了接受结肠直肠ESD或DBE的患者.
- 在程序前的查中,通过全腿超声波 (US) 或对比度增强计算机断层扫描 (CECT) 排除了现有的DVT.
- 在手术后,所有患者都接受了例行全腿US检测DVT; PE也被监测.
主要成果:
- 总共有238名患者 (167名结直肠ESD,71名DBE) 进行了分析.
- 在结直肠ESD后发生了一例DVT,导致DVT发生率总体为0.4% (ESD为0.6%,DBE为0%).
- 在整个研究队列中没有报告肺栓塞 (PE) 的情况.
结论:
- 结直肠ESD和DBE等高度侵入性的内镜手术后,DVT和PE的风险特别低.
- 这些发现表明,目前的内镜技术对患者的血栓形成风险最小.
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