在肠道静脉瘤逆转后出现并发症的危险因素
Himanshu Goswami1, Satish B Dharap1, Dnyaneshwar K Mohare1
1General Surgery, Topiwala National Medical College & B. Y. L. Nair Charitable Hospital, Mumbai, IND.
Cureus
|December 19, 2025
概括
胃口逆转手术存在重大风险,包括手术部位感染和口泄漏. 优化患者健康和使用营养支持可以减少这些并发症.
科学领域:
- 一般外科 整体外科
- 外科手术的结果
背景情况:
- 在临时肠胃口形成后恢复肠道连续性是常见的.
- 胃口逆转手术带有严重的发病率和死亡率风险.
- 并发症包括手术部位感染 (SSI),静脉漏,败血症和死亡.
研究的目的:
- 确定肠道静脉栓逆转后的常见并发症.
- 确定早期术后并发症的发生率,严重程度和危险因素.
- 分析影响结果的因素,以优化手术结果.
主要方法:
- 对70名接受静脉门逆转的成年患者进行前性观察性研究.
- 收集关于人口统计,临床因素和操作变量的数据.
- 使用奇平方,费舍尔精确和t测试 (p<0.05显著) 的统计分析.
主要成果:
- 32.8%的患者经历了技术困难或阳性损伤,与结肠静脉/末端静脉逆转有关.
- 45.7%的人患有术后并发症,最常见的是SSI (37.1%).
- 死亡率 (5.7%) 与并发病和低albuminemia相关;营养支持减少并发症.
结论:
- 胃口逆转与相当大的发病率和死亡率有关.
- 脊髓切除术的逆转可能比结肠切除术或哈特曼逆转更安全.
- 建议包括明智地创建静脉管,延迟逆转,优化并发症和营养支持.
相关概念视频
Ostomy Care
1.7K
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
1.7K
Inflammatory Bowel Disease V: Surgical Management
420
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
420
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
496
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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...
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...
496
Inflammatory Bowel Disease I: Ulcerative Colitis
844
Introduction
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...
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...
844
Inflammatory Bowel Disease II: Crohn's Disease
909
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
909
Peripheral Artery Disease V: Postoperative Nursing Management
343
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
343


