在食管切除术后,常规的凝管切除术放置的实用性和结果
H Tw Chon1, A Botros1, I El-Zayat1
1Portsmouth Hospitals University NHS Trust, UK.
Annals of the Royal College of Surgeons of England
|August 15, 2025
概括
在食道切除术后,常规食结肠切除术 (FJ) 往往是不必要的. 选择性方法可以减少复杂的复杂和痛苦的患者,没有复杂的恢复,因为大多数不需要后释放FJ使用.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 营养支持 营养支持
背景情况:
- 食结肠切除术 (Feeding jejunostomy,FJ) 是消化管切除术后的一种常见的营养支持方法.
- 然而,足关节的位置可能会导致患者显著的发病率.
- 在不复杂的案件中,常规FJ的必要性仍在争论中.
研究的目的:
- 评估在接受食道切除术并没有复杂的恢复的患者中例行食结肠切除术 (FJ) 的实用性和结果.
- 为了确定这个患者队伍中出院后FJ使用率.
- 评估关节相关并发症的发生率.
主要方法:
- 一个前性数据库被用来分析100名连续的患有无并发性食道切除术恢复 (Clavien-Dindo ≤2) 的患者的结果.
- 所有患者都接受了常规的FJ安置.
- 收集和分析了有关人口统计,疾病,手术细节,临床结果,FJ必要性和并发症的数据.
主要成果:
- 在包括的97名患者中,只有9.3%需要在出院后持续使用FJ.
- 在需要和不需要退院后FJ的患者之间没有观察到显著的人口差异.
- 与关节相关的并发症发生在18.5%的患者中,主要是管位移.
结论:
- 在没有复杂恢复的患者中,在食道切除术后常规的FJ安置与低使用率和显著的并发症风险有关.
- 选择性策略的FJ安置可能比常规安置更有利.
- 需要进一步的研究,以建立最佳的术后营养支持策略.
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