| 1 | Minimally invasive endoscopic repair of rectovaginal fistula显示文摘BACKGROUND Surgical techniques for repair of rectovaginal fistula(RVF)have been continually developed,but the ideal procedure remains unclear.Endoscopic repair is a novel and minimally invasive technique for RVF repair with increasing reporting.AIM To review the current applications and preliminary outcomes of this technique for RVF repair,aiming to give surgeons an alternative in clinical practice.METHODS Available articles were searched according to the search strategy.And the sample size,fistula etiology,fistula type,endoscopic repair approaches,operative time and hospital stay,follow-up period,complication and life quality assessment were selected for recording and further analysis.RESULTS A total of 11 articles were eventually identified,involving 71 patients with RVFs who had undergone endoscopic repair.The principal causes of RVFs were surgery(n=51,71.8%),followed by obstetrics(n=7,9.8%),inflammatory bowel disease(n=5,7.0%),congenital(n=3,4.2%),trauma(n=2,2.8%),radiation(n=1,1.4%),and in two patients,the cause was unclear.Most fistulas were in a mid or low position.Several endoscopic repair methods were included,namely transanal endoscopic microsurgery,endoscopic clipping,and endoscopic stenting.Most patients underwent>1-year follow-up,and the success rate was 40%-93%,and all cases reported successful closure.Few complications were mentioned,while postoperative quality of life assessment was only mentioned in one study.CONCLUSION In conclusion,endoscopic repair of RVF is novel,minimally invasive and promising with acceptable preliminary effectiveness.Given its unique advantages,endoscopic repair can be an alternative technique for surgeons. | Yi-Xian Zeng Ying-Hua He Yun Jiang Fei Jia Zi-Ting Zhao Xiao-Feng Wang | 2022 | World Journal of Gastrointestinal Surgery2022，14，9： | 0 |
| 2 | 中国极早发型炎症性肠病外科管理专家共识(2023)显示文摘极早发型炎症性肠病(VEO-IBD)是炎症性肠病(IBD)的特殊亚群, 其病理生理进程与成人或大于6岁的儿童IBD差异较大。其临床症状更重, 对传统IBD治疗方案反应差, 外科并发症发生率高。外科治疗是VEO-IBD多学科治疗中的重要组成部分, 目前对VEO-IBD的外科治疗尚缺乏统一的认识。近年来随着生物制剂、免疫治疗、干细胞移植等新型治疗方式的出现, 对VEO-IBD外科治疗的理念和方法也发生了重要的转变。本共识基于循证医学依据, 采用Delphi方法制定, 在VEO-IBD外科治疗的相关问题上达成共识意见, 以期为临床工作提供指导。 | 中华医学会消化病学分会炎症性肠病学组儿科协作组 黄瑛 | 2023 | 中华炎性肠病杂志(中英文)2023，7，2： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员