内镜囊保留:在244个连续程序中的频率,原因和风险因素分析
Carlos Saul1, Guilherme Pereira Lima1, Abdon Pacurucu Merchan1
1Hospital Universitário Canoas. Canoas, Brazil. Hospital Universitário Canoas Canoas Brazil.
Acta gastroenterologica Latinoamericana
|December 4, 2025
概括
小肠内镜中的囊保留是一个显著的并发症. 识别像狭窄和瘤这样的危险因素对于防止最终的囊保留至关重要,特别是在患有炎症状况的患者中.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 诊断成像 诊断成像 诊断成像
背景情况:
- 囊内镜是小肠检查的关键工具.
- 囊保留是与此程序相关的主要并发症.
研究的目的:
- 为了确定囊保留的频率.
- 为了确定导致囊保留的风险因素.
主要方法:
- 连续244次囊内镜检查的分析.
- 定义了最终保留 (≥3周) 和暂时保留 (自发消除).
- 确定了风险因素,包括炎症性狭窄,瘤和大分泌器.
主要成果:
- 在244个手术中的7个 (2.9%) 中发生了囊保留.
- 在5名患者 (2.0%) 观察到终极保留,所有患者都有确定的风险因素.
- 在2名患者中发生了暂时保留.
- 在没有风险因素的患者中没有观察到保留.
结论:
- 囊的保留与风险因素的存在直接相关.
- 大约有10%的患有小肠风险因素的患者经历了最终的保留.
- 在程序前确定风险因素,特别是炎症性狭窄,至关重要.
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