可卡因颗粒的消化内镜去除:安全性评估
Alolia Aboikoni1, Marion Wallyn2, Timothée Bonifay3,4
1Service de médecine B, Hépato-gastroentérologie Pneumologie, Centre Hospitalier de Cayenne, Cayenne, France.
Endoscopy international open
|February 17, 2025
概括
用内镜去除可卡因颗粒是安全有效的,成功率高,没有并发症. 这种程序为延迟颗粒疏散的患者提供了可行的管理选择.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
背景情况:
- 由于可卡因颗粒的潜在破裂,可卡因颗粒的摄入在内镜去除过程中存在风险.
- 延迟疏散可卡因颗粒的保守治疗可以延长.
研究的目的:
- 为了评估可卡因颗粒的消化内镜去除的安全性和有效性.
- 为了确定内镜是否是管理可卡因颗粒摄入的可行选择.
主要方法:
- 凯恩医院的回顾性观察研究 (2015年7月至2023年5月).
- 包括111名患者,尽管保守治疗,可卡因颗粒疏散延迟.
- 用被归类为破裂风险低的颗粒进行内镜检查 (皮多托4型).
主要成果:
- 包括111名患者,主要是男性 (75%),平均年龄为25岁.
- 颗粒位于胃,右/左结肠和西格.
- 在第一个内镜检查中,成功去除92%的病例,整体100%.
- 没有发生per/post-endoscopic并发症或颗粒破裂.
结论:
- 消化内镜去除可卡因颗粒是一种安全有效的程序.
- 在服用可卡因颗粒的患者的治疗中,应考虑内镜检查.
- 这种方法最大限度地降低了与疏散延迟和潜在并发症相关的风险.
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