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通过皮肤通过食道的胃口
John Hufnagle1, Adam Fish1, Athena Masi2
1Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut.
Seminars in interventional radiology
|May 9, 2025
概括
穿皮穿食管胃口术 (PTEG) 提供了一个安全的替代方案,用于胃的访问,当 transabdominal 方法失败. 这种技术避免了腹入口,减少了需要肠道养或减压的特定患者的风险.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 胃口管对于食和减压在患有失调症的患者中至关重要.
- 跨腹腔胃口安置不适合所有患者,因为膜炎或通道愈合不良等风险.
研究的目的:
- 评估皮肤穿越食道胃口术 (PTEG) 作为胃入口的安全有效替代方案.
- 描述PTEG的患者选择,程序技术和结果.
主要方法:
- PTEG涉及超声波引导的穿皮进入宫食道.
- 在食道中,一个充满液体的气球作为注射针的目标.
- 该程序避免了腹膜的破裂,减轻了相关风险.
主要成果:
- PTEG提供了一种安全有效的胃通道方法,避免腹膜并发症.
- 这种技术适用于 transabdominal 途径禁用的患者.
- 与跨腹胃口相比,存在明显的禁忌和并发症.
结论:
- 穿皮穿食管胃口术是一种有价值的技术,可以在具有挑战性的患者群体中实现胃通道.
- 仔细的患者工作和理解特定的程序细微差别对于成功的PTEG结果至关重要.
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