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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 37 - 48 (12page)
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초록· 키워드
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Treating gastrointestinal (GI) fistulas endoscopically is challenging owing to an established epithelial tract. The variety of endoscopicapproaches is transforming endoscopy into a first-line therapy. However, many sessions are often required, with variable success rates. Owing to these limitations, the off-label use of cardiac septal occluders (CSOs) has been reported. We searched for articles related to CSOs in the MEDLINE, EMBASE, Cochrane Library, and LILACS databases and gray literature. Theprimary outcomes included technical success, clinical success, and safety of CSOs in GI fistula management. A total of 25,574 records were identified, and 19 studies ultimately satisfied the inclusion criteria. Technical success was achieved inall cases. Of the 22 fistulas, 77.27% had successful closure, with a mean follow-up period of 32.02 weeks. The adverse event rate was22.72%, with no associated mortality. Univariable and multivariable regression analyses showed no significant difference in the successof closure and adverse events in relation to several variables among the subgroups. The use of CSOs appeared to be technically feasible, effective, and safe in the treatment of GI fistulas. The satisfactory results derived fromthis sparse literature suggest that it can be an option in the management of GI fistulas.
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등록된 정보가 없습니다.
참고문헌 (48)
참고문헌 신청
Caulfield H / 2013 / Anastomotic leak after low anterior resection : a spectrum of clinical entities / JAMA Surg 148:177~182
de Moura DTH / 2018 / Endoscopic full-thickness defects and closure techniques / Curr Treat Options Gastroenterol 16:386~405
Schulman AR / 2017 / Complications of bariatric surgery : what you can expect to see in your GI practice / Am J Gastroenterol 112:1640~1655
Haito-Chavez Y / 2016 / Septotomy : an adjunct endoscopic treatment for post-sleeve gastrectomy fistulas / Gastrointest Endosc 83:456~457
Haito-Chavez Y / 2014 / International multicenter experience with an over-the-scope clipping device for endoscopic management of GI defects(with video) / Gastrointest Endosc 80:610~622
de Moura DTH / 2018 / Endoscopic full-thickness defects and closure techniques / Curr Treat Options Gastroenterol 16:386~405
Schulman AR / 2017 / Complications of bariatric surgery : what you can expect to see in your GI practice / Am J Gastroenterol 112:1640~1655
Haito-Chavez Y / 2016 / Septotomy : an adjunct endoscopic treatment for post-sleeve gastrectomy fistulas / Gastrointest Endosc 83:456~457
Haito-Chavez Y / 2014 / International multicenter experience with an over-the-scope clipping device for endoscopic management of GI defects(with video) / Gastrointest Endosc 80:610~622
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