在Zenker的分离器口内镜肌切除术后,当天出院的安全性
Yara Sarkis1, Mohammad Al-Haddad1, Sarah Stainko1
1Department of Gastroenterology and Hepatology, Indiana University Health Medical Center, Indianapolis, IN, USA.
概括
对于符合条件的患者来说,Z-POEM (Zenker's diverticulum) 的口腔内镜肌切除术后的同一天排泄是安全的. 严格的协议确保了最少的急诊室访问或医院入院后的程序.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 患者的治疗结果.
背景情况:
- 有限的数据存在于Z-POEM (Z-POEM) 门内镜肌切除术后的同一天排放 (SDD) 安全性,用于Zenker的分离器.
- 评估SDD后的急诊室 (ED) 访问和住院至关重要.
研究的目的:
- 为了评估ED访问或Z-POEM后SDD后入院的安全性和频率.
- 确定患有SDD的Z-POEM患者出院后事件的病因.
主要方法:
- 在2020年2月至2023年8月期间接受Z-POEM与SDD的患者的回顾性评估.
- 对于SDD的严格标准包括缺少不良事件,稳定的生命体征,疼痛控制和社会支持.
- 记录了手术后的事件,急救诊所和30天内住院的病例,并评估了因果关系.
主要成果:
- 在39名Z-POEM中,26名患者 (67%) 在同一天出院.
- 在30天内发生了两次ED访问 (COPD恶化,肺炎),只有肺炎被认为与Z-POEM有关.
- 没有患者需要出院后入院.
结论:
- 在Z-POEM后的同日出院对于严格遵守协议的精心选择的患者来说是安全的.
- 这种方法可以安全地实施,尽量减少住院治疗的需要.
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