胃肠瘘——2025年胃肠病学家需要知道的事情。

IF 2.3 4区 医学 Q2 Medicine
Canadian Journal of Gastroenterology and Hepatology Pub Date : 2025-08-13 eCollection Date: 2025-01-01 DOI:10.1155/cjgh/6210421
Monjur Ahmed
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引用次数: 0

摘要

由于克罗恩病、减肥手术、介入性内窥镜手术、非手术创伤以及世界范围内的战争和灾区的负担增加,胃肠道瘘在我们的临床实践中越来越多地遇到。表现取决于瘘管的位置和具体类型。有症状的糖尿病会对社会生活产生巨大影响,并可能导致脱水、电解质失衡、营养不良、发病率和死亡率增加。不同的影像学检查和内窥镜检查是为了确定诊断。关闭瘘管的治疗方式取决于潜在疾病和瘘管的类型。它们包括保守治疗、药物治疗、内窥镜干预和手术。目前,由于缺乏对照临床试验,没有公认的治疗算法。不同瘘管的预后不同,死亡率可高达50%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Gastrointestinal Fistulas-What Gastroenterologists Need to Know in 2025.

Gastrointestinal Fistulas-What Gastroenterologists Need to Know in 2025.

Gastrointestinal Fistulas-What Gastroenterologists Need to Know in 2025.

Gastrointestinal Fistulas-What Gastroenterologists Need to Know in 2025.

Gastrointestinal fistulas are increasingly being encountered in our clinical practice because of the increased burden of Crohn's disease, bariatric surgeries, interventional endoscopic procedures, nonsurgical trauma, and war and disaster zones worldwide. Presentation depends on the location and specific type of the fistula. Symptomatic ones can have a tremendous impact on social life and can cause dehydration, electrolyte imbalance, malnutrition, increased morbidity, and mortality. Different imaging studies and endoscopic procedures are done to establish the diagnosis. Treatment modalities to close the fistula depend on the underlying disease and the type of fistula. They include conservative treatment, medical therapy, endoscopic interventions, and surgery. Currently, there is no accepted treatment algorithm due to a lack of controlled clinical trials. The prognosis varies from fistula to fistula, and the mortality can be as high as 50%.

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来源期刊
CiteScore
4.80
自引率
0.00%
发文量
0
审稿时长
37 weeks
期刊介绍: Canadian Journal of Gastroenterology and Hepatology is a peer-reviewed, open access journal that publishes original research articles, review articles, and clinical studies in all areas of gastroenterology and liver disease - medicine and surgery. The Canadian Journal of Gastroenterology and Hepatology is sponsored by the Canadian Association of Gastroenterology and the Canadian Association for the Study of the Liver.
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