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与胃肠内镜检查相关的不良结局。定义、分类及质量评估流程。

Negative outcomes related to gastrointestinal endoscopic procedures. Definitions, classification, and quality review process.

作者信息

Zuckerman G R

机构信息

Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.

出版信息

Gastrointest Endosc Clin N Am. 1996 Apr;6(2):461-70.

PMID:8673337
Abstract

Endoscopic retrograde cholangiopancreatography (ERCP), together with its substantial therapeutic capabilities, carries a higher potential for complications compared with other endoscopic procedures. Complications of ERCP vary in severity from trivial to lethal, and their presentation has a variable timing. The incidence of ERCP complications correlates with physician experience and clinical environments and may be underestimated if routine follow-up is not provided. Physicians should be fully trained in therapeutic endoscopy, and their volume of procedure should be sufficient to maintain therapeutic skills.

摘要

内镜逆行胰胆管造影术(ERCP),连同其强大的治疗能力,与其他内镜手术相比,具有更高的并发症发生风险。ERCP并发症的严重程度各不相同,从轻微到致命,其表现出现的时间也各不相同。ERCP并发症的发生率与医生经验和临床环境相关,如果不进行常规随访,可能会被低估。医生应接受全面的治疗性内镜培训,其手术量应足以维持治疗技能。

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