现代内镜师的工具箱:外体去除方面的创新
1Department of Medicine, Section of Gastroenterology, Aga Khan University Hospital, Karachi 75500, Sindh, Pakistan. yumnashahid664@gmail.com.
World journal of gastrointestinal endoscopy
|June 23, 2025
概括
摄入外体是一种常见的紧急情况,特别是在儿童中. 快速内镜去除是非常成功的,但及时干预对于预防严重并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 儿科 儿科 儿科
背景情况:
- 外体摄入是常见的胃肠道紧急情况,主要影响儿童 (80%的病例).
- 虽然大多数被摄入的物品自然通过,但大约20%需要医疗干预.
- 成年人的病例往往是由于在饮食期间意外摄入而导致的,可能会导致冲击,特别是在先前存在的食道疾病中.
研究的目的:
- 审查外体摄入的诊断和管理.
- 突出内镜检索的有效性和相关风险.
- 讨论进展和迅速医疗反应的重要性.
主要方法:
- 对外体摄入的临床表现和管理策略的审查.
- 强调内镜检索作为主要干预措施.
- 讨论各种检索设备和新兴技术,如人工智能辅助成像.
主要成果:
- 内镜外体检索的成功率超过95%.
- 尖的物体,电池和大型物品对诸如穿孔和阻塞等并发症的风险最高.
- 对于完全食道阻塞和高风险物体,应急干预是适用的.
结论:
- 及时内镜去除对于管理外体摄入和预防严重并发症至关重要.
- 技术进步正在提高诊断的准确性和程序的成功.
- 公共意识,预防和快速医疗干预是减少相关发病率和死亡率的关键.
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