相关实验视频

Updated: May 12, 2025

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

结肠直肠手术后的上层介质动脉综合征:一个系统的审查

Nourah Alsaleh^1,2, Waed Yaseen³, Renad Abo Alshamat³

¹Department of Surgery-Surgical Oncology, Ministry of National Guard Health Affairs, King Abdulaziz Medical City, Jeddah, Saudi Arabia.

Annals of medicine and surgery (2012)

|May 8, 2025

概括

在结肠直肠手术后的上层介质动脉综合征 (SMAS) 通常在2-4周内通过保守的管理成功治疗. 如果症状持续超过4周,可能需要手术干预才能有效治疗.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
腹部外科手术腹部外科手术

背景情况:

上半腹膜动脉综合征 (SMAS) 是一种罕见的疾病,由于上半腹膜动脉和大动脉之间的压缩,导致十二指肠阻塞.
在手术后诊断SMAS由于非特异性症状带来了挑战.

研究的目的:

调查结直肠手术后SMAS的流行,原因,预防和管理.
分析治疗结果,专注于保守与外科手术的方法.

主要方法:

系统审查SMAS在结直肠手术后诊断的病例报告,直到2023年10月.
包括38项基于系统审查和元分析 (PRISMA) 准则的首选报告项目研究.

主要成果:

整体直肠切除术与阴道J袋门解剖是最常见的前置手术 (41.6%).
症状发作的时间差异很大 (从1天到10年).
在治疗持续时间 (>2周) 和保守管理成功之间发现了显著的相关性 (P=0.017).

结论:

保守的管理对大多数 (62.9%) 的SMAS患者在结肠直肠手术后是有效的,通常在2-4周内.
在经过4周的保守护理后,病情没有改善的患者可以进行外科手术.
需要进一步的前性研究来验证研究结果,并确定治疗成功的预测因素.

关键词:

威尔基综合征是什么意思威尔基综合征是什么意思进行大肠切除术 (colectomy).十二指甲膜的阻塞这是一个leoanal袋子.上层中枢动脉综合征是什么

更多相关视频

Rodent Model of Intestinal Ischemia-Reperfusion Injury via Occlusion of the Superior Mesenteric Artery

Rodent Model of Intestinal Ischemia-Reperfusion Injury via Occlusion of the Superior Mesenteric Artery

Published on: October 20, 2023

Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery

Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery

Published on: April 8, 2021

相关概念视频

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD: