治疗性结肠镜检查中使用电灼时发生结肠气体爆炸。
Colonic gas explosion during therapeutic colonoscopy with electrocautery.
作者信息
Ladas Spiros-D, Karamanolis George, Ben-Soussan Emmanuel
机构信息
Hepatogastroenterology Unit, 2nd Propedeutic Internal Medicine Department, "ATTIKON" General Hospital, Rimini 1, Athens 12462, Greece.
出版信息
World J Gastroenterol. 2007 Oct 28;13(40):5295-8. doi: 10.3748/wjg.v13.i40.5295.
Abstract
Therapeutic colonoscopy with electrocautery is widely used around the world. Adequate colonic cleansing is considered a crucial factor for the safety of this procedure. Colonic gas explosion, although rare, is one of the most frightening iatrogenic complications during colonoscopy with electrocautery. This complication is the result of an accumulation of colonic gases to explosive concentrations, but may be prevented by meticulous bowel preparation. The purpose of this review is to discuss the indications and the types of bowel preparations for therapeutic colonoscopy, and to contribute recommendations for the adequate bowel preparation for colonoscopy with electrocautery.
摘要
带电灼术的治疗性结肠镜检查在全球被广泛应用。充分的结肠清洁被认为是该手术安全性的关键因素。结肠气体爆炸虽然罕见，但却是带电灼术的结肠镜检查期间最可怕的医源性并发症之一。这种并发症是结肠气体积聚至爆炸浓度的结果，但可通过细致的肠道准备加以预防。本综述的目的是讨论治疗性结肠镜检查的肠道准备指征和类型，并为带电灼术的结肠镜检查充分肠道准备提供建议。
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