在复杂分炎的管理中改变范式
Johannes Kurt Schultz1,2,3, Maziar Nikberg4,5, Abbas Chabok5,6
1Department of Gastrointestinal Surgery Akershus University Hospital PB 1000 1478 Lørenskog Norway.
概括
复杂的结肠分裂炎,这是住院的常见原因,越来越多地通过保守的策略而不是手术来管理. 本综述详细介绍了目前的诊断,治疗和随访情况.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 内部医学 内部医学
背景情况:
- 复杂的结肠膜炎是西方国家住院的常见原因.
- 它与显著的发病率,医疗保健利用率以及,穿孔和败血症等并发症有关.
- 大约10%-20%的住院白炎病例被归类为复杂的.
研究的目的:
- 提供一个全面的,临床导向的当前诊断和治疗策略复杂的结肠分泌炎的综合总结.
- 概述后续治疗的建议,包括结肠镜检查的指示.
- 讨论正在进行的争议以及管理这种疾病的未来方向.
主要方法:
- 审查当前的诊断方法,强调横截面成像.
- 非手术和手术治疗选择的总结.
- 对结肠镜检查的后续建议和指示的分析.
主要成果:
- 管理已经从例行手术转向个人化,基于证据的战略,有利于保守的治疗.
- 目前的诊断包括横截面成像.
- 治疗选择包括非手术和手术方法.
结论:
- 复杂的结肠分裂炎管理正在向个性化,基于证据的战略发展.
- 适当使用诊断和量身定制的治疗是至关重要的.
- 需要进一步的研究来解决正在进行的争议,并完善未来的管理方法.
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