在 push 穿皮内镜性胃口术的儿童中,胃口术装置的冲击
Juliette Viart1,2, Matthieu Antoine3, Madeleine Aumar3,4
1Pediatric Gastroenterology Hepatology and Nutrition Department, Jeanne de Flandre Hospital, CHU Lille, Univ. Lille, Lille, 59000, France. jviart@ch-tourcoing.fr.
Scientific reports
|October 3, 2025
概括
在儿童的一步按穿皮内镜胃口术 (B-PEG) 后,T条保留很常见. 年龄较小增加了风险,这表明提前去除T紧固件可以防止胃症并发症.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 最少侵入性的手术
- 医疗器械并发症 医疗器械并发症
背景情况:
- 一步按穿皮内镜胃口术 (B-PEG) 是一种广泛使用的胃口术放置技术.
- 与B-PEG中使用的T型紧固件相关的并发症没有得到充分的记录.
- T-bar的保留可以导致与胃有关的问题.
研究的目的:
- 为了确定儿童患者在B-PEG后T-bar保留的发生率.
- 为了确定与T-bar保留相关的风险因素.
- 为了评估T-bar保留的临床影响.
主要方法:
- 在2009年至2020年期间,对679名接受B-PEG治疗的儿童进行了回顾性分析.
- 对患者特征,并发症和并发症的审查.
- 对放射学检查的分析,以评估T条冲击至少在手术后6周.
主要成果:
- 在分析的483名患者中,74.7%的患者观察到T-bar冲击.
- 在B-PEG测试时的年龄较小是T条损伤的重要危险因素 (OR: 2.82,P < .0001).
- 第一次放射性检查显示T条冲击的中位时间为0.55年.
结论:
- 在儿科B-PEG后,T-bar冲击的高发病率发生.
- 较年轻的儿童患T条保留的风险增加.
- 建议在B-PEG后提前就T-紧固件去除进行讨论,以减轻胃症并发症.
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