相关实验视频
Updated: Sep 19, 2025

05:16
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
6.8K
术前上部内镜和手术样本发现,在腹部手术患者
Baila Elkin1, Joseph El-Dahdah2, Qijun Yang3
1Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA. elkinb@ccf.org.
Obesity surgery
|June 5, 2025
概括
常规的手术前食管胃腺镜检查 (EGD) 与腹腔外科手术前的活检往往没有进行,错过了检测显著胃病理的机会. 高龄和非白人,非黑人种族与这些发现有关.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 手术病理学手术病理学
背景情况:
- 在代谢性减肥手术 (MBS) 之前进行常规食道胃管腺镜检查 (EGD) 的必要性尚未得到充分证实.
- 这项研究调查了与手术前EGD相关的患者特征以及手术期间错过的重大胃病理的患病率.
研究的目的:
- 确定影响患者接受手术前EGD的可能性的患者因素,在MBS之前进行活检.
- 确定在手术样本中发现的临床意义上的胃病理的患病率,这些手术样本可能被手术前EGD遗漏.
- 分析与这些重大病理发现相关的患者人口统计和临床因素.
主要方法:
- 在2018-2022年期间,对18岁以上的患者进行了Roux-en-Y胃旁路术 (RYGB) 或袖子胃切除术 (SG) 的回顾性分析.
- 从EGD和手术标本收集人口统计,临床,内镜和病理学数据.
- 单变量和多变量考克斯回归分析,以确定与重大发现相关的因素.
主要成果:
- 在3718名患者中,只有36.9%的患者患有手术前的EGD. 在2349个手术标本中的135个中发现了临床意义上的病理.
- 大多数具有重大病理性的患者 (63.7%) 没有手术前的EGD;20.7%的患者有活检后的EGD.
- 高龄和非白人,非黑人种族与EGD或病理学的临床显著发现有关.
结论:
- 在减肥手术患者中经常发现显著的胃病理,许多病例可能通过使用活检的手术前EGD检测到.
- 大约三分之二的有显著发现的患者没有通过活检进行EGD.
- 高龄和非白人,非黑人种族与这些病理有关,突出显示需要进一步研究预测因素和最佳EGD策略.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
184
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...
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...
184
Endoscopic Procedures I: Esophagogastroduodenoscopy
362
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
362
Endoscopic Procedures V: ERCP
974
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
974
Upper GI Series: Barium Swallow
956
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
956
Endoscopic Procedures II: Colonoscopy
196
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
196
Barrett Esophagus-II: Clinical Manifestations and Management
321
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
321

