在内镜骨头底部手术后便秘的患病率和影响
Theodore V Nguyen1, Ellen M Hong1, Benjamin F Bitner1
1Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, Orange, California, United States.
Journal of neurological surgery. Part B, Skull base
|September 2, 2025
概括
术后便秘在内镜底手术 (ESBS) 后很常见,与更长的康复和阿片类药物使用有关. 在ESBS患者中,主动排便可能有助于控制这种常见问题.
科学领域:
- 神经外科
- 胃肠病学
- 手术的结果
背景情况:
- 经过内镜底手术 (ESBS) 后的术后便秘可能导致张力,可能导致内压力变化并影响手术重建.
- 了解便秘的流行和促成因素对于优化患者康复和重建成功至关重要.
研究的目的:
- 确定ESBS患者手术后便秘的发生率.
- 确定ESBS导致便秘的因素.
- 评估术后便秘对重建结果的影响.
主要方法:
- 在2018年7月至2022年12月期间接受ESBS的213名患者的回顾性评估.
- 收集的数据包括排便频率,手术指标,患者人口统计,BMI,慢性疼痛史,卧床时间,停留时间 (LOS) 和阿片类止痛药的使用.
- 被定义为>48小时没有排便;记录了排便方案和便软化剂等干预措施.
主要成果:
- 在69%的患者中观察到高患术后便秘率 (146/ 213).
- 在术后期间,便秘与更长的术后休息时间和增加的吗啡等效剂量 (MED) 有关.
- 术后便秘独立预测了更长的停留时间 (LOS),但与脑脊液 (CSF) 泄漏增加无关.
结论:
- 在ESBS后出现高频率的术后便秘,可能受固定和阿片类药物使用的影响.
- 对于ESBS患者来说,应考虑进行站立肠道治疗以减轻便秘.
- 在患有便秘的患者中没有发现术后脑脊液泄漏的风险增加.
更多相关视频
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
170
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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...
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...
170
Endoscopic Procedures II: Colonoscopy
183
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
183
Inflammatory Bowel Disease V: Surgical Management
206
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
206
Assessment of the Rectum and Anus
399
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
399
Endoscopic Procedures I: Esophagogastroduodenoscopy
346
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
346
Drugs for Treatment of Constipation-Predominant IBS
326
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
326


