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食物对食道的影响:发生率,原因和治疗
Florian Hentschel1,2, Isabel Elena Haller3, Juliane Emily Wruck3
1General Medicine, MSB Medical School Berlin GmbH, Berlin, Germany.
概括
食道食物的影响正在增加,主要在男性中. 内镜前向推进与逆向提取一样安全和有效,支持当前管理这些紧急情况的指南.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 消化道疾病 消化道疾病
背景情况:
- 食物对食道的影响代表了日益增长的胃肠道紧急情况.
- 目前的欧洲指导方针建议内镜前进推进食物囊的去除.
- 最近的辩论质疑前进推进的安全性,建议逆向提取作为更安全的替代方案.
研究的目的:
- 分析食道食物影响的发病率,患者人口统计,潜在条件和结果.
- 为了比较前进推进与逆向提取的安全性和有效性,用于食物玻尿酸切除.
- 评估当前治疗指南是否需要修改.
主要方法:
- 在16年 (2008-2024) 期间,对99名患有食道食物影响的患者进行了回顾性分析.
- 收集的数据包括每年发生率,年龄,性别,潜在疾病,去除方法,成功率和不良事件.
- 推进和逆向提取技术之间的结果比较.
主要成果:
- 发病率以逻辑上升,从每年1例增加到22例 (p < 0.001).
- 80%的患者是男性 (p < 0.001),具有不同的潜在疾病.
- 所有技术的成功率为100%;向前推进有2次轻微不良事件,提取有1次 (不显著).
结论:
- 食道食物的影响正在显著增加,男性占主导地位.
- 多种罕见的潜在疾病有助于食物影响的增加.
- 前进推仍然是一种安全有效的内镜治疗,符合现有指南.
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