对目前下肠道出血的管理进行全面审查
Shivaraj Afzalpurkar1, Uday C Ghoshal2, Mahesh Kumar Goenka3
1Nanjappa Multi-Speciality Hospitals, Davangere, 577 005, India.
概括
下胃肠道出血 (LGIB) 是常见的,在全球范围内有各种原因. 结肠镜是稳定的患者的主要诊断和治疗工具,而CT血管造影则有助于不稳定的病例.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 下胃肠道出血 (LGIB) 的定义已经发展,现在专注于结肠或肠来源.
- 全球LGIB发病率为每10万人/年20.5-87.0,死亡率为2.5-3.9%,再出血率为13-19%.
- 病因在全球范围内有所不同:西方的分流性出血,印度的结肠炎和.
研究的目的:
- 审查急性下胃肠道出血的诊断和治疗方法.
- 突出结肠镜和CT血管学在LGIB管理中的作用.
- 强调对高风险患者的多学科方法.
主要方法:
- 关于诊断和管理下胃肠道出血的当前文献的综述.
- 强调结肠镜作为血液动力学稳定的患者的初始诊断和治疗方式.
- 在不稳定的患者或结肠镜检查失败时,计算机断层扫描血管学 (CTA) 的讨论.
主要成果:
- 结肠镜是有效的诊断和血液静止使用技术,如剪贴应用和热凝固.
- 对不稳定的患者和内镜血静失败的病例来说,CTA至关重要.
- 管理需要仔细考虑患者的稳定性和并发症,包括使用抗凝剂.
结论:
- 结肠镜是诊断和治疗稳定患者急性LGIB的基石.
- 血液动力学不稳定的患者和耐火性出血患者中,CTA至关重要.
- 为了管理LGIB,必须采取多学科的方法,特别是在服用抗凝剂或最近心脏支架的患者中.
相关概念视频
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
01:26Peptic Ulcer Disease IV: Management
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
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...
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
01:21Inflammatory Bowel Disease V: Surgical Management
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:
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease