剪片,设备和喷雾剂在内镜血静止中的作用:更新 (含视频)
Nikhil Sonthalia1, Rajesh Puri2, Shivam Sethi3
1Institute of Gastrosciences and Liver Transplantation, Apollo Multispecialty Hospitals, Kolkata, 700 054, India.
概括
内镜剪贴和喷雾器对于干预内镜至关重要. 超视镜剪贴 (OTSC) 建议用于高风险的再出血患者,为透视镜剪贴 (TTS剪贴) 提供了替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 内镜干预措施 内镜干预
- 医疗器械 医疗器械
背景情况:
- 内镜剪贴和喷雾剂是管理复杂胃肠道出血的重要工具.
- 现代内镜剪贴已经显著发展,提高了它们的临床效用.
- 透视镜 (TTS) 剪贴和超视镜 (OTSC) 剪贴都有明显的优点和缺点.
研究的目的:
- 审查内镜剪贴,装置和喷雾剂的技术和临床方面.
- 讨论这些内镜工具的最佳使用技术.
- 为在特定的临床场景中应用不同类型的片提供建议.
主要方法:
- 对内镜剪贴,装置和喷雾剂的当前文献的审查.
- 分析TTS剪贴和OTSC的设计,特性和应用.
- 讨论喷雾剂在具有挑战性的内镜手术中的辅助作用.
主要成果:
- 各种TTS剪贴提供了各种各样的属性,如大小,可旋转性和可重新打开性.
- 有两种类型的OTSC可用,在设计和应用上有所不同.
- 喷雾剂作为有价值的辅助剂,特别是当剪贴效率较低时.
结论:
- 虽然TTS剪辑仍然广泛使用,但对于高风险的复出出血患者,OTSC应该被认为是主要的.
- 对OTSC的指示包括双抗血小板,早期抗凝血重新启动,CKD和大纤维性 (>1.5厘米) 的患者.
- 最佳的选择和技术对于最大限度地提高内镜静血装置的疗效至关重要.
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