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上消化道内镜检查:术后预期发现及不良事件

Upper gastrointestinal endoscopy: expected post-procedural findings and adverse events.

作者信息

Hanna Tarek N, Rohatgi Saurabh, Shekhani Haris N, Shahid Fatima, Ojili Vijayanadh, Khosa Faisal

机构信息

Division of Emergency Radiology, Emory Department of Radiology and Imaging Sciences, Emory University Midtown Hospital, 550 Peachtree St NE, Atlanta, GA, 30308, USA.

Department of Internal Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

出版信息

Emerg Radiol. 2016 Oct;23(5):503-11. doi: 10.1007/s10140-016-1427-9. Epub 2016 Jul 26.

Abstract

Complications related to endoscopy are commonly encountered in the emergency department (ED) due to an increased use of outpatient diagnostic and therapeutic upper gastrointestinal endoscopic procedures. A majority of these procedures are performed on an outpatient basis, and patients with post-procedural symptoms may return to the ED. Since these patients often undergo computed tomography (CT) for diagnosis of post-procedure complications, the emergency radiologist should be familiar with the spectrum of expected post-procedural findings, as well as common and rare complications. We present a pictorial review of post-endoscopy complications and review imaging protocols in different clinical scenarios.

摘要

由于门诊诊断性和治疗性上消化道内镜检查的使用增加,与内镜检查相关的并发症在急诊科很常见。这些检查大多在门诊进行,术后出现症状的患者可能会返回急诊科。由于这些患者经常接受计算机断层扫描(CT)以诊断术后并发症,急诊放射科医生应熟悉预期的术后表现范围以及常见和罕见的并发症。我们展示了内镜检查后并发症的图片综述,并回顾了不同临床场景下的成像方案。

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