建立内镜外套胃形成术的实践标准:使用修改后的Delphi方法建立全球专家共识
Pichamol Jirapinyo1, Rashmi Advani2, Abdulhameed Al-Sabban3
1Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Gastrointestinal endoscopy
|March 22, 2025
概括
这项研究标准化了内镜袖胃形成术 (ESG) 技术. 专家们的共识确定了安全有效的肥胖治疗的关键认知和技术步骤.
科学领域:
- 胃肠病学 胃肠病学
- 腹腔内镜检查 腹腔内镜检查 腹腔内镜检查
- 最少侵入性的手术
背景情况:
- 内镜套管胃形成术 (ESG) 是一种安全有效的微创性肥胖治疗方法.
- 程序技术的变化可能会影响结果.
- 需要采用标准化的方法来优化ESG绩效.
研究的目的:
- 开发一个标准化的程序方法,用于内镜套胃形成术 (ESG).
- 建立对ESG关键认知和技术步骤的共识.
- 为安全有效地执行ESG提供明确的指导.
主要方法:
- 修改后的Delphi方法用于共识建设.
- 全球ESG专家参与了300多项程序.
- 进行了三轮调查,共识定义为≥70%的同意.
主要成果:
- 27个关键的ESG步骤被确定,专家们达成高度共识.
- 认知技能达到了100%的共识; 技术技能显示高达成一致.
- 关键的技术要素包括从切口开始,使用≥6个,避免 fundus.
结论:
- 这种专家共识为ESG提供了一个标准化,逐步的指南.
- 该指南旨在提高ESG程序的安全性和有效性.
- 标准化可以带来更可预测和更成功的患者结果.
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