与内镜解压力失败和复发性西格卷发症相关的临床因素:一项回顾性队列研究
Seoyoon Choi1, Hye Kyung Hyun2, Jihye Park1
1Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Journal of gastroenterology and hepatology
|March 7, 2026
概括
较年轻的患者和严重的结肠膨胀预测在西格体卷发中内镜解压力失败. 严重的膨胀和纵向延伸与复发有关,指导治疗策略.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 医疗成像医学成像
背景情况:
- 西格体卷发症是老年人的关键病症,但预后因素尚不清楚.
- 了解这些因素对于有效的患者管理和结果至关重要.
研究的目的:
- 为了评估西格体卷积患者的临床结果.
- 确定影响内镜解压成功和复发的预后因素.
主要方法:
- 75名通过腹部CT诊断的Sigmoid volvulus患者的回顾性队列研究.
- 后勤回归分析了内镜解压力失败; 考克斯回归评估了复发.
- 排除标准包括新出现的手术,拒绝内镜治疗或自发减压.
主要成果:
- 80%的患者通过内镜解压得到改善;20%的患者失败.
- 年轻的年龄 (≤65岁) 和严重的结肠膨胀 (≥85mm) 预测了减压失败.
- 一年后的复发率为30%,三年后为36.7%.
- 严重的结肠膨胀 (≥85mm) 和纵向结肠长度 (≥230mm) 预测复发.
结论:
- 年轻的年龄和严重的结肠膨胀与内镜解压力失败有关.
- 严重的结肠膨胀和明显的纵向延伸独立地预测了西格体卷发症的复发.
- 研究结果支持对高风险患者进行早期手术咨询,并为切除计划提供信息.
更多相关视频
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
929
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...
929
Esophageal Varices-II: Clinical Features and Management
702
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...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
702
Esophageal Strictures-II: Clinical Features and Management
811
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
811
Esophageal Perforation-II: Clinical Manifestations and Management
868
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
868
Inflammatory Bowel Disease V: Surgical Management
789
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:
789
Endoscopic Procedures II: Colonoscopy
981
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
981


