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应对腹部扭转:管理策略的全面综述

Navigating Abdominal Volvulus: A Comprehensive Review of Management Strategies.

作者信息

Chauhan Simran, Shinde Raju K, Jain Yashraj

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

General Surgery, Rajshree Nursing Home, Ashoknagar, IND.

出版信息

Cureus. 2024 Apr 10;16(4):e57978. doi: 10.7759/cureus.57978. eCollection 2024 Apr.

Abstract

Abdominal volvulus represents a critical condition characterized by the abnormal twisting of the GI tract, potentially leading to obstruction and vascular compromise. Prompt recognition and appropriate management are essential to prevent complications and improve patient outcomes. This comprehensive review examines the anatomy, pathophysiology, clinical presentation, and diagnostic evaluation of, and management strategies for abdominal volvulus. Non-operative techniques, including detorsion and decompression, as well as surgical interventions, such as laparoscopic and open approaches, are discussed. Additionally, the importance of multidisciplinary collaboration and postoperative care is emphasized. Despite significant advancements, unresolved issues remain, necessitating further research to refine diagnostic and therapeutic approaches. Future directions, including exploring emerging technologies, offer promise for enhancing the management of this challenging condition. Overall, this review provides clinicians with valuable insights into the optimal management of abdominal volvulus, aiming to improve patient outcomes and enhance clinical practice.

摘要

腹部扭转是一种危急情况,其特征为胃肠道异常扭转,可能导致梗阻和血管受压。迅速识别和恰当处理对于预防并发症和改善患者预后至关重要。本综述全面探讨了腹部扭转的解剖学、病理生理学、临床表现、诊断评估及管理策略。文中讨论了非手术技术,包括扭转复位和解压,以及手术干预措施,如腹腔镜和开放手术方法。此外,还强调了多学科协作和术后护理的重要性。尽管取得了显著进展,但仍存在未解决的问题,需要进一步研究以完善诊断和治疗方法。未来方向,包括探索新兴技术,有望改善对这一具有挑战性病症的管理。总体而言,本综述为临床医生提供了关于腹部扭转最佳管理的宝贵见解,旨在改善患者预后并提升临床实践水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0711/11086050/bcc7d7f6bde8/cureus-0016-00000057978-i01.jpg

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