单气球肠镜术的并发症:9年多中心经验,2865次手术
Saif Ullah1, Yang-Qiu Bai2, Nicha Wareesawetsuwan3
1Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, Henan Province, China.
急性肠道穿孔是单气球肠镜术 (SBE) 的罕见并发症. 之前的腹部手术和腹部压缩增加了穿孔风险,需要对这种诊断程序进行仔细的患者选择.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术并发症 手术并发症
背景情况:
- 单气球肠镜 (SBE) 是小肠病变的关键诊断工具.
- 在大型SBE群体中,主要并发症及其风险因素需要进一步澄清.
研究的目的:
- 为了确定与诊断性SBE相关的并发症的发生率.
- 为了确定这些并发症的危险因素.
主要方法:
- 一项多中心的回顾性研究分析了来自三个三级医院2865个诊断性SBE程序的数据.
- 数据包括患者人口统计,程序细节,指示,发现和并发症.
主要成果:
- 整体主要并发症率为0.4%,所有事件都是急性肠道穿孔.
- 之前的腹部手术 (2.1%的穿孔率) 和腹部压缩 (1.6%的穿孔率) 是显著的风险因素.
- 穿孔主要发生在骨中,并通过手术成功进行了治疗.
结论:
- 急性肠道穿孔是一种罕见但严重的SBE并发症.
- 之前的腹部手术和腹部压缩被确定为关键风险因素.
- 建议谨慎选择患者,以减轻与SBE相关的风险.
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