根据内镜检查结果 (附视频) 对结肠分管出血中的内镜血静的有用治疗选择策略 (视频)
Takaaki Kishino1, Yoko Kitamura1, Takashi Okuda1
1Department of Gastroenterology and Hepatology, Center for Digestive and Liver Diseases, Nara City Hospital, Nara, Japan.
在可行的情况下,首选直接剪切结肠分泌器出血 (CDB),然后进行内镜带绑定 (EBL). 这一策略为CDB患者提供有效,高效和安全的血液静止.
科学领域:
- 胃肠病学 胃肠病学
- 进行内镜干预.
- 结肠直肠外科手术是什么意思
背景情况:
- 结肠分管出血 (CDB) 是一种常见的需要血液静止的疾病.
- 直接或间接剪切和内镜带绑定 (EBL) 是CBD的确立治疗方法.
- 缺乏对CDB血静的明确治疗选择策略.
研究的目的:
- 描述结肠分管出血的治疗选择策略.
- 为了评估剪切与EBL对CDB血液静止的结果.
- 为了比较CBD的不同血液静止方法的有效性,效率和安全性.
主要方法:
- 在2016年3月至2023年2月期间治疗的192名患有CDB和近期出血 (SRH) 污名的患者的回顾性审查.
- 治疗选择优先考虑直接剪切,其次是EBL,然后是间接剪切.
- 分析了血液静止时间,再出血率和并发症的数据.
主要成果:
- 剪切用于84名患者 (78名直接,6名间接),EBL用于108名患者.
- 主动出血 (SRH) 在EBL组更频繁 (60.2%对33.3%).
- 剪切时的中位血液静止时间较短 (9分钟与22分钟相比). 30天复出率没有显著差异 (15.5%对13.0%). 一个EBL后的延迟穿孔;剪切没有并发症.
结论:
- 在可行的情况下优先考虑直接剪切的策略,其次是EBL,对于CDB来说是有效的,高效的和安全的.
- 根据SRH的视野和内镜机动性量身定制静血方法,优化了结果.
- 这种方法有效地利用了剪切和EBL的优势,用于管理结肠分管出血.
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