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关于脓毒症的叙述性文献综述:结直肠肿瘤的一种主要表现形式

A Narrative Literature Review on Sepsis: A Primary Manifestation of Colorectal Neoplasm.

作者信息

Masood Lalain, Müller Agustina, Ali Nayab Z, Mummadisetty Anvitha, Yahya Anam, Burugu Sai Shivani, Sajid Rabia, Lakkimsetti Mohit, Sagireddy Sowmya, Abdin Zain U, Nazir Zahra

机构信息

Department of Internal Medicine, Bahria University Health Sciences Campus, Karachi, PAK.

Department of General Medicine, Austral University Hospital, Pilar, ARG.

出版信息

Cureus. 2023 Sep 6;15(9):e44803. doi: 10.7759/cureus.44803. eCollection 2023 Sep.

Abstract

Sepsis and colorectal cancer (CRC) exhibit a complex relationship that warrants further exploration. This review delves into the interplay of factors between sepsis and CRC, uncovering shared pathophysiological traits and potential bacterial associations. Understanding these connections could pave the way for earlier diagnosis, improved management, and enhanced outcomes in CRC patients. The role of immune system dysfunction, hypoalbuminemia, and specific microbial imbalances, such as Streptococcus bovis and Clostridium septicum, are discussed. Recognizing sepsis in CRC patients is crucial for timely intervention, and tailored approaches encompassing antibiotic therapy, source control measures, and cancer treatment are essential for comprehensive care. Monitoring biomarkers and ratios can provide valuable insights into complications and overall health outcomes. A multidisciplinary approach involving various specialists is necessary to address the global burden of CRC and its association with sepsis while exploring novel interventions, such as fecal microbiota transplantation and personalized care. We conducted a thorough search using reputable databases such as PubMed, Scopus, and Google Scholar to investigate the connection between sepsis and CRC. We refined our search terms, utilized sidebar filters, and examined references in selected articles. This meticulous process helped us create a comprehensive literature review and gain valuable insights into this relationship.

摘要

脓毒症与结直肠癌(CRC)呈现出一种复杂的关系,值得进一步探究。本综述深入探讨了脓毒症与CRC之间各种因素的相互作用,揭示了共同的病理生理特征以及潜在的细菌关联。了解这些联系可为CRC患者的早期诊断、改善治疗管理及提高治疗效果铺平道路。文中讨论了免疫系统功能障碍、低白蛋白血症以及特定微生物失衡(如牛链球菌和败血梭菌)的作用。识别CRC患者中的脓毒症对于及时干预至关重要,而包括抗生素治疗、源头控制措施和癌症治疗在内的针对性方法对于全面护理必不可少。监测生物标志物和比率可为并发症及整体健康状况提供有价值的见解。在探索诸如粪便微生物群移植和个性化护理等新干预措施的同时,需要多学科专家共同应对CRC及其与脓毒症关联所带来的全球负担。我们使用PubMed、Scopus和谷歌学术等知名数据库进行了全面检索,以研究脓毒症与CRC之间的联系。我们完善了检索词,利用侧边栏过滤器,并查阅了所选文章中的参考文献。这一细致的过程帮助我们撰写了一篇全面的文献综述,并对这种关系有了宝贵的见解。

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World J Gastroenterol. 2022 Aug 14;28(30):4053-4060. doi: 10.3748/wjg.v28.i30.4053.

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