在患有腹腔表面恶性瘤的患者中,管理恶性胃肠道阻塞的共识指南
Varun V Bansal1, Elizabeth L Godfrey1, Javid Sadjadi2
1Yale School of Medicine, New Haven, CT, USA.
腹腔表面恶性瘤 (PSM) 管理中的恶性胃肠道阻塞 (MGIO) 是由一个新的共识途径指导的. 它优先考虑基于阻塞严重程度的多学科护理和量身定制的干预措施,特别是对于外科手术的益处有限的患者.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 恶性胃肠道阻塞 (MGIO) 是腹膜表面恶性瘤 (PSM) 的常见,严重并发症.
- 对于最佳的MGIO管理策略存在有限的高质量证据.
- 为了应对这一临床挑战,需要达成全国共识.
研究的目的:
- 在PSM患者中开发MGIO的临床管理途径.
- 建立关于管理恶性胃肠道阻塞的最佳实践的专家共识.
- 为面对这种复杂的临床情景的从业者提供基于证据的指导.
主要方法:
- 一个德尔菲的共识过程,涉及关节疾病的国家专家.
- 两轮投票以达成关于管理途径块的协议.
- 快速文献审查,以评估MGIO程序干预的证据.
主要成果:
- 在两轮投票后,在6/6个路径块获得了高度共识 (超过90%).
- 路径强调多学科护理,早期息评估和护理的代目标.
- 针对多焦点阻塞或表现不佳的干预措施,确定了干预措施的有限益处,有利于支持性护理或减压.
结论:
- 基于共识的途径为PSM中MGIO管理提供了必要的临床指导.
- 强调需要高质量的前性研究,以加强基于证据的建议.
- 强调基于阻塞敏度和患者因素的个性化护理.
更多相关视频
03:32Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
05:16Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
Published on: February 19, 2022
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
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...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
