在内镜结合后发生后出血:肝硬化患者的发病率,危险因素和结果
Maria de Brito Nunes1,2,3, Matthias Knecht1, Jonas Schropp1
1Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
包带后出血 (PUBB) 是内镜带 (EBL) 的严重并发症. 紧急的EBL和升高的肌素是PUBB的关键风险因素,需要积极的患者识别和管理.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内镜手术是一种内镜手术.
背景情况:
- 包带后出血 (PBUB) 是内镜带 (EBL) 的未经研究的并发症.
- EBL用于食道水出血 (VB) 的预防和治疗.
- PBUB的发病率,死亡率和风险因素需要进一步调查.
研究的目的:
- 为了调查PBUB的发生率.
- 确定与PBUB相关的死亡率.
- 确定PBUB的独立风险因素.
主要方法:
- 追溯的队列研究.
- 包括患有肝硬化和食道静脉的患者,因为VB而接受EBL.
- 从2018年1月到2022年12月在大学医院收集的数据.
主要成果:
- 每位患者的PBUB发病率为17.5%,每次手术为6.8%.
- 紧急的EBL和升高的肌素是PBUB的独立风险因素.
- PBUB与高输血率 (88.1%),ICU入院率 (74.4%) 和显著的短期 (19%) 和长期 (64%) 死亡率有关.
结论:
- 经过紧急EBL或肌素升高的患者患PBUB的风险更高.
- 高死亡率强调了早期识别和预防策略的必要性.
- 改善患者的结果需要主动管理PBUB风险因素.
更多相关视频
03:33Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
Published on: September 27, 2024
04:00Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
相关概念视频
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Esophageal Varices-I: Introduction
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Peptic Ulcer Disease I: Introduction
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
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...
