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相关概念视频

Ostomy Care01:24

Ostomy Care

218
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
218
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

113
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
113
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

215
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
215
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

43
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
43
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

62
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
62
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

102
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
102

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相关实验视频

Updated: May 30, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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老龄化差异在奥斯托米外科手术中

Atziri Rubio-Chavez1, David C Chang2, Hiroko Kunitake1

  • 1Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

The Journal of surgical research
|January 28, 2025
PubMed
概括
此摘要是机器生成的。

便骨架手术的发生率有所下降,但在老年人中,大肠骨架形成的速度下降得更慢. 在所有年龄组中,骨髓切除术的使用量都增加了,这表明手术趋势发生了变化.

关键词:
结肠直肠切除术 (colostomy) 是一个大肠直肠切除术.皮质静脉切开术 (ileostomy) 是一种切开术.全国范围内的住院患者样本.年长的成年人.骨干切除术 (Ostomy) 是一个切除术.

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相关实验视频

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科学领域:

  • 结肠直肠手术 结肠直肠手术
  • 外科手术的发展趋势
  • 流行病学 流行病学

背景情况:

  • 对于与年龄相关的便骨干手术趋势的理解有限.
  • 需要比较65岁以下和65岁以上的患者之间的结肠直肠术率.

研究的目的:

  • 随着时间的推移,确定便口腔手术率.
  • 在不同年龄组中比较结肠直肠瘤形成率.

主要方法:

  • 追溯的多机构队列研究 (2003-2014).
  • 全国住院患者样本数据库分析.
  • 年龄组对比的差异差异分析.年龄组对比.

主要成果:

  • 在819441名患者中,16.6%的患者需要做骨术.
  • 在两个年龄组 (<65岁和≥65岁) 中,结肠直肠术的发生率均下降.
  • 结肠管形成率上升,老年人结肠管形成的下降速度较慢.

结论:

  • 结肠静脉形成减少,但在老年人中较慢.
  • 在美国,大大转向更频繁地使用结节切除术.
  • 需要为日益增长的老年手术患者群体分配资源.