手术并发症的内窥镜治疗

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Mayank Goyal , Anmol Bains , Yadwinder Singh , Fnu Deepali , Anmol Singh , Shubham Sood , Navtej S. Buttar
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引用次数: 0

摘要

虽然内窥镜治疗漏孔、瘘管和穿孔等外科并发症的方法发展迅速,但其核心原则仍围绕着闭合、引流和控制。有效处理这些病症取决于多个因素,如潜在病因、病变的慢性程度、组织活力、并发症、设备的可用性以及进行内窥镜检查所需的专业知识。与急性穿孔相比,瘘管和渗漏通常需要采用多模式方法,需要不止一次的治疗才能达到所需的效果。虽然最终目标是彻底解决问题,但这些内窥镜干预措施可提供临床稳定性,使肠内喂养可导致早期出院或择期手术。在本次讨论中,我们强调了目前的知识水平以及内窥镜干预在处理手术并发症方面的前瞻性作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endoscopic management of surgical complications

While the endoscopic management of surgical complications like leaks, fistulas, and perforations is rapidly evolving, its core principles revolve around closure, drainage, and containment. Effectively managing these conditions relies on several factors, such as the underlying cause, chronicity of the lesion, tissue viability, co-morbidities, availability of devices, and expertise required to perform the endoscopy. In contrast to acute perforation, fistulas and leaks often demand a multimodal approach requiring more than one session to achieve the required results. Although the ultimate goal is complete resolution, these endoscopic interventions can provide clinical stability, enabling enteral feeding to lead to early hospital discharge or elective surgery. In this discussion, we emphasize the current state of knowledge and the prospective role of endoscopic interventions in managing surgical complications.

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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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