息肉切除术并发症的管理。
Management of polypectomy complications.
作者信息
Thirumurthi Selvi, Raju Gottumukkala S
机构信息
Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1466, Houston, TX 77030, USA.
Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1466, Houston, TX 77030, USA.
出版信息
Gastrointest Endosc Clin N Am. 2015 Apr;25(2):335-57. doi: 10.1016/j.giec.2014.11.006. Epub 2015 Feb 26.
The 2 most significant complications of colonoscopy with polypectomy are bleeding and perforation. Incidence rates for bleeding (0.1%-0.6%) and perforation (0.7%-0.9%) are generally low. Recognition of pertinent risk factors helps to prevent these complications, which can be grouped into patient-related, polyp-related, and technique/device-related factors. Endoscopists should be equipped to manage bleeding and perforation. Currently available devices and techniques are reviewed to achieve hemostasis and close colon perforations.
结肠镜息肉切除术最主要的两种并发症是出血和穿孔。出血（0.1%-0.6%）和穿孔（0.7%-0.9%）的发生率通常较低。识别相关风险因素有助于预防这些并发症，这些因素可分为患者相关、息肉相关以及技术/设备相关因素。内镜医师应具备处理出血和穿孔的能力。本文综述了目前可用的设备和技术，以实现止血和闭合结肠穿孔。
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