肿瘤预防与治疗2025，Vol.38Issue(8)：703-711,9.DOI:10.3969/j.issn.1674-0904.2025.08.006
食管癌术后或放化疗后患者上消化道内镜诊疗中突发危急情况的多学科处置
Multidisciplinary Management of Acute Emergencies during Upper Gas-trointestinal Endoscopy in Esophageal Cancer Patients after Surgery or Chemoradiotherapy
摘要
Abstract
Objective:To investigate the multidisciplinary management and its clinical values in addressing acute emergencies during upper gastrointestinal endoscopy in pa-tients with esophageal cancer(EC)after surgery or chemora-diotherapy.Methods:Fifteen esophageal cancer patients after surgery or chemoradiotherapy who developed acute emergen-cies during upper endoscopy and required urgent intervention were retrospectively enrolled from the Endoscopy Center of Si-chuan Cancer Hospital between January 2010 and December 2023.Acute endoscopic events were early identified via endo-scopic critical values(ECV)and managed using a multidisciplinary team(MDT)approach.The multidisciplinary manage-ment protocols and key procedures were analyzed.Results:All 15 EC patients were male,aged(61.07±10.06)years,and developed ECV during endoscopy,including severe hypoxemia(9 cases),massive gastrointestinal hemorrhage(4 cases),aspiration(1 case),and cardiac arrest(1 case).After early recognition,targeted interventions such as high-flow oxygen therapy,hemostasis,foreign body extraction,endotracheal intubation,and cardiopulmonary resuscitation were executed through coordinated MDT actions.All patients in this cohort survived the acute events.Conclusion:Postoperative or post-chemoradiation esophageal cancer patients with compromised systemic status are at elevated risk for life-threatening endoscop-ic complications.Implementation of a structured MDT emergency protocol substantially enhances survival outcomes and safe-guards patient safety during ECV.关键词
食管癌/上消化道内镜/内镜危急值/多学科处置/临床价值Key words
Esophageal cancer/Upper gastrointestinal endoscope/Endoscopic critical value/Multidisciplinary manage-ment/Clinical value分类
医药卫生引用本文复制引用
罗瑶,张宏伟,毕刚,金海龙,任媛,段寻梅,张莎,包郁,张真铭,李生平,赵锐,陈曦,刘新冰..食管癌术后或放化疗后患者上消化道内镜诊疗中突发危急情况的多学科处置[J].肿瘤预防与治疗,2025,38(8):703-711,9.基金项目
This study was supported by grants from Science and Technology Department of Sichuan Province(No.2022YFQ0045,No.2024YFFK0218). 四川省科技计划项目(编号:2022YFQ0045) （No.2022YFQ0045,No.2024YFFK0218）
四川省科技厅重点研发项目(编号:2024YFFK0218) （编号:2024YFFK0218）
