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用于治疗胃肠道穿孔的当前内镜闭合技术。

Current endoscopic closure techniques for the management of gastrointestinal perforations.

作者信息

Staudenmann Dominic, Choi Kevin Kyung Ho, Kaffes Arthur John, Saxena Payal

机构信息

AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, 50 Missenden Road, Sydney, NSW 2050, Australia.

出版信息

Ther Adv Gastrointest Endosc. 2022 Feb 27;15:26317745221076705. doi: 10.1177/26317745221076705. eCollection 2022 Jan-Dec.

DOI:10.1177/26317745221076705
PMID:35252863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8891873/
Abstract

Acute gastrointestinal perforations occur either from spontaneous or iatrogenic causes. However, particular attention should be made in acute iatrogenic perforations as timely diagnosis and endoscopic closure prevent morbidity and mortality. With the increasing use of diagnostic endoscopy and advances in therapeutic endoscopy worldwide, the endoscopist must be able to recognize and manage perforations. Depending on the size and location of the defect, a variety of endoscopic clips, stents, and suturing devices are available. This review aims to prepare and guide the endoscopist to use the right tools and techniques for optimal patient outcomes.

摘要

急性胃肠道穿孔可由自发性或医源性原因引起。然而，对于急性医源性穿孔应给予特别关注，因为及时诊断和内镜闭合可预防发病和死亡。随着全球诊断性内镜检查的使用增加以及治疗性内镜技术的进步，内镜医师必须能够识别和处理穿孔。根据缺损的大小和位置，有多种内镜夹、支架和缝合装置可供使用。本综述旨在帮助并指导内镜医师使用正确的工具和技术，以实现最佳的患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/e24b1c843ec3/10.1177_26317745221076705-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/8a7a05956702/10.1177_26317745221076705-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/6e497d2d9df8/10.1177_26317745221076705-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/7eaf1aa501f7/10.1177_26317745221076705-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/ec0217e14a35/10.1177_26317745221076705-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/61016bcc7b8f/10.1177_26317745221076705-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/e24b1c843ec3/10.1177_26317745221076705-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/8a7a05956702/10.1177_26317745221076705-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/6e497d2d9df8/10.1177_26317745221076705-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/7eaf1aa501f7/10.1177_26317745221076705-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/ec0217e14a35/10.1177_26317745221076705-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/61016bcc7b8f/10.1177_26317745221076705-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a45/8891873/e24b1c843ec3/10.1177_26317745221076705-fig6.jpg

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