修改后的低成本EndoVac是安全有效的治疗术后泄漏,即使在低压下也是如此
Sridhar Sundaram1, Rahul Puri2, Devyani Niyogi3
1Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Dr. E Borges Road, Parel, Mumbai, 400012, India. drsridharsundaram@gmail.com.
Surgical endoscopy
|June 20, 2025
概括
修改的内镜真空疗法 (mEndoVac) 有效地治疗上下胃肠道泄漏. 这种低成本的方法显示了高临床成功率的解剖漏,证明了安全性和有效性.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术并发症 手术并发症
背景情况:
- 手术后的胃肠道泄漏是一个重大问题.
- 内镜真空疗法 (EndoVac) 是一种常见的治疗方法.
- 改性低成本EndoVac (mEndoVac) 提供了一个潜在的替代方案.
研究的目的:
- 为了评估改性低成本EndoVac (mEndoVac) 的疗效.
- 为了评估mEndoVac在上部肠道泄漏的低压和下部肠道泄漏的标准压力.
- 确定mEndoVac在治疗静脉漏的临床成功率.
主要方法:
- 从2022年1月到2024年3月接受mEndoVac治疗的患者的回顾性评估.
- 上部胃肠道泄漏经过低压mEndoVac (25-30 mmHg) 的处理.
- 以标准压力mEndoVac (125-150 mmHg) 处理的下肠道泄漏.
- 主要结局:临床成功 (泄漏腔的解决).
主要成果:
- 治疗了十八名患有静脉漏病的患者 (14个上肠道,4个下肠道).
- 在88.8% (16/18) 的病例中,获得了临床成功.
- 轻度并发症发生在27.7%的患者中;6个月死亡率为16.6%.
结论:
- 改性低成本内镜真空疗法 (mEndoVac) 是安全有效的.
- 该疗法在低压下对上部胃肠道泄漏表现出有效性.
- 标准压力是有效的下部消化道泄漏使用mEndoVac.
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