简短和长期的治疗引起的胃肠道损伤:一个基于证据的实践指南
Anupam Kumar Singh1, Deepak Gunjan2, Nihar Ranjan Dash3
1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India.
本指南提供了基于证据的治疗,用于消化肠道 (GI) 胃肠道的腐蚀性摄入损伤. 它详细说明了低级和高级伤害的诊断和治疗,强调营养支持.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 造成性摄入会导致严重的胃肠道 (GI) 损伤,构成公共卫生问题,特别是在发展中国家.
- 胃肠道损伤的严重程度决定了患者的短期和长期结果.
- 需要一个共识的指导方针来管理这些伤害.
研究的目的:
- 制定一个以证据为基础的实践指南,用于管理与食用有毒物相关的胃肠道损伤.
- 提供关于诊断和治疗策略的共识陈述.
主要方法:
- 一个经过修改的Delphi过程,涉及电子投票和实体会议.
- 对现有科学文献进行了广泛的审查.
- 开发了41个共识声明.
主要成果:
- 消化管胃肠镜是消化管损伤的主要诊断工具.
- 低度伤害 (扎尔加级≤2a) 受益于早期口服养和排泄.
- 高度伤害 (扎尔加级≥2b) 需要住院治疗,因为并发症风险较高,包括光线缩小.
结论:
- 管理策略应区分低级和高级的伤.
- 早期的口服养和排泄适用于轻度伤害.
- 高度伤害需要住院治疗,并可能需要内镜或手术干预,以进行关键的持续营养支持.
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