内镜压力研究综合系统的并发症:对10年经验中的1205个病例的审查
Miyuki Iwasaki1, Ippei Tanaka1, Haruhiro Inoue1
1Digestive Diseases Center Showa University Koto Toyosu Hospital Tokyo Japan.
DEN open
|July 17, 2025
概括
内镜压力研究综合系统 (EPSIS) 是安全的,用于评估下食道关节 (LES) 功能. 这项研究发现并发症率很低,类似于常规内镜检查,有流血和撕裂等轻微事件.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 诊断工具 诊断工具
背景情况:
- 内镜压力研究综合系统 (EPSIS) 通过胃内压力 (IGP) 监测来评估下消化道 (LES) 功能.
- 之前的研究证实了EPSIS对LES功能障碍如GERD和achalasia的有用性.
- 之前没有报道过EPSIS的安全性和并发症率.
研究的目的:
- 评估新型EPSIS工具的并发症率和特征.
- 在临床实践中确定EPSIS的安全概况.
主要方法:
- 1205个连续的EPSIS案件的回顾性审查.
- 识别和分析不良事件 (AE),包括临床特征和IGP参数.
- 使用Clavien-Dindo分类对AE进行分类.
主要成果:
- 在2.9%的病例中发生了不良事件 (35/1205).
- 轻微的并发症包括微粘膜出血 (2.7%) 和表面粘膜撕裂 (0.25%).
- 没有观察到任何严重的不良事件;所有AEs都是Clavien-Dindo等级I.
结论:
- EPSIS是一种安全的,最少的侵入性手术,并发症率低,与上部内镜相美.
- 对于安全的EPSIS表现的建议包括镇静,CO2 insufflation和受控的IGP (<25 mmHg).
- 需要进一步的研究,以根据患者的病情来完善安全门.
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