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Acta gastro-enterologica Belgica最新文献

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Comparative outcome of single versus two double-pigtail stents for endoscopic drainage of pancreatic fluid collections with minimal necrosis: a retrospective analysis. 在内镜下引流坏死程度极轻的胰腺积液时,单个双鱼尾支架与两个双鱼尾支架的效果比较:回顾性分析。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.51821/87.1.12118
S Giri, S Bhrugumalla, S Gangadhar, S Angadi

Background: Endoscopic ultrasound (EUS)-guided cystogastrostomy is the treatment of choice for managing symptomatic pancreatic fluid collections (PFC). However, studies on the number of stents for optimal drainage of PFCs are limited. Hence, the present study was conducted to compare the outcome of single versus two double-pigtail stents for endoscopic drainage of PFCs.

Methods: This is a single-center, retrospective analysis of patients undergoing endoscopic drainage of PFCs with minimal necrosis (pseudocyst or walled-off necrosis with <30% solid content) at a tertiary center in South India from October 2020 to October 2022. Post-procedure, patients were followed up for clinical improvement, and stents were removed after documentation of cyst size reduction on imaging.

Results: Sixty-three patients (82.5% males, median age: 34 years) fulfilling the selection criteria were included. For single stent placement (n = 47), stents of size 8.5 Fr or 10 Fr were used, while for placement of two stents (n = 16), 7 Fr stents were used. The technical success rate was 100%. Intraprocedural and early postprocedural adverse events (all mild to moderate) were comparable between the groups (17.0% with single stent vs. 25.0% with two stents, p = NS). Clinical success was achieved in 93.6% of patients, with no difference between both groups. Three patients in the single stent group required additional procedures. All patients underwent successful stent removal after a median follow-up of 14 weeks.

Conclusion: A single pigtail stent of 8.5 Fr or 10 Fr size for EUSguided cystogastrostomy provides efficacy and safety similar to that of two stents.

背景:内镜超声(EUS)引导下的膀胱造口术是治疗无症状胰腺积液(PFC)的首选疗法。然而,有关 PFC 最佳引流的支架数量的研究十分有限。因此,本研究比较了单双尾支架内镜引流 PFCs 的效果:这是一项单中心回顾性分析,研究对象是接受内镜引流的轻度坏死(假性囊肿或壁脱落坏死)PFCs 患者:符合选择标准的 63 名患者(82.5% 为男性,中位年龄:34 岁)被纳入其中。单个支架置入(47 人)使用 8.5 Fr 或 10 Fr 支架,两个支架置入(16 人)使用 7 Fr 支架。技术成功率为 100%。两组的术中和术后早期不良事件(均为轻度至中度)相当(单支架为17.0%,双支架为25.0%,P = NS)。93.6%的患者获得了临床成功,两组之间没有差异。单支架组中有三名患者需要进行额外手术。中位随访14周后,所有患者都成功取出了支架:结论:在 EUS 引导下使用 8.5 Fr 或 10 Fr 大小的单尾支架进行膀胱造口术,其有效性和安全性与使用两个支架相似。
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引用次数: 0
Watch-an-wait strategy for multiple rectal neuroendocrine tumors with widespread invasion. 对有广泛侵犯的多发性直肠神经内分泌肿瘤采取 "观察-等待 "策略。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.10381
N Torres, M El Moussaoui, S Basbous, V Fridman, I Borbath, J Deflandre
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引用次数: 0
An update on Eosinophilic Esophagitis. 嗜酸性粒细胞食管炎的最新进展。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.12001
R Loi, M Ceulemans, L Wauters, T Vanuytsel
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引用次数: 0
Approach to the patient with non-cirrhotic splanchnic venous thrombosis: a brief narrative review. 非肝硬化脾静脉血栓患者的治疗方法:简要回顾。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.10141
V Ávila-Rodríguez, J Rondón-Carvajal, V M De La Espriella-Palmett
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引用次数: 0
Quality outcome measures project in IBD: a proof-of-concept benchmarking study in three Belgian IBD units. IBD 质量结果衡量项目:比利时三个 IBD 单位的概念验证基准研究。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.11830
F Baert, D Baert, L Pouillon, P Bossuyt

Introduction: Current treatment modalities in IBD allow us to render normal quality of life to most patients. Ideally, structured digital care pathways can be harmonised in order to measure (semi-) automatically key outcome quality indicators and compare between institutions.

Materials and methods: Key quality criteria were selected through a consensus process and aligned with the ICHOM quality criteria in IBD, including clinical parameters, PROMs, quality of life, health care utilisation and productivity.

Results: Measurements of the 11 selected key quality criteria were integrated in the structured care pathways of three IBD units. All patients received (at least) twice a year three questionnaires (PRO2 or SCCAI, ICHOM criteria and IBD Disk) through the electronic application to collect necessary information ahead of their planned outpatient clinic. In addition, interpretation of biomarkers was automated, and more difficult outcome indicators were manually added by the caregiver during the visit in anticipation of adaptations to or improvements of the electronic record. All information was collected centrally electronically in a structured way allowing benchmarking between the three centres, and stored for future retrospective research.

Conclusion: A (partially) automated benchmarking for measuring quality of care is feasible. It provides an objective assessment of IBD care, enables benchmarking between centres and facilitates quality improvements projects.

介绍:目前的 IBD 治疗方法可以使大多数患者获得正常的生活质量。理想情况下,结构化的数字护理路径可以协调统一,以便(半)自动测量关键结果质量指标,并在不同机构之间进行比较:关键质量标准通过共识程序选出,并与 ICHOM 的 IBD 质量标准保持一致,包括临床参数、PROMs、生活质量、医疗保健利用率和生产率:结果:对所选 11 项关键质量标准的测量已纳入三个 IBD 单位的结构化护理路径中。所有患者每年(至少)两次通过电子应用程序接受三份问卷调查(PRO2 或 SCCAI、ICHOM 标准和 IBD Disk),以便在计划门诊前收集必要信息。此外,对生物标志物的解释是自动进行的,而更困难的结果指标则由护理人员在就诊时手动添加,以便对电子记录进行调整或改进。所有信息均以结构化的方式集中电子化收集,以便在三个中心之间进行基准比较,并储存起来供未来的回顾性研究使用:结论:衡量医疗质量的(部分)自动化基准是可行的。结论:衡量护理质量的(部分)自动化基准是可行的,它提供了对 IBD 护理的客观评估,使各中心之间能够建立基准,并促进了质量改进项目。
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引用次数: 0
Motorized spiral enteroscopy: this is the end my friend? 电动螺旋肠镜:我的朋友,这就是终点?
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.12182
T G Moreels
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引用次数: 0
Successful treatment of ulcerative colitis with anakinra: a case report. Anakinra 成功治疗溃疡性结肠炎:病例报告。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.11246
M Truyens, L Hoste, J Geldof, A Hoorens, F Haerynck, D Huis In 't Veld, T Lobatón
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引用次数: 0
Banknotes in the stomach. 肚子里的钞票
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.11441
S Köklü, S Gökduman
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引用次数: 0
Jejunal bleeding: a case report. 空肠出血:病例报告。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.11386
J Vandewinckele, B Vanduyfhuys, B Claerhout, P Schoenaers, B Sierens, K Duthoi
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引用次数: 0
2023 Belgian consensus on Helicobacter pylori treatment, yet another (Belgian) guideline. 2023 比利时幽门螺杆菌治疗共识,又一份(比利时)指南。
IF 1.5 4区 医学 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.51821/86.4.12121
G Rasschaert, R Ntounda
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引用次数: 0
期刊
Acta gastro-enterologica Belgica
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