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消化肝病前沿资讯

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介绍消化肝病专业国内外前沿资讯,定期更新。适合关注和从事消化肝病领域的专业技术人员利用通勤和休闲时间收听。

PublishesDailyEpisodes238Founded4 months ago
Language
ZH-CN
Number of ListenersCategories
Health & FitnessScienceLife SciencesAlternative Health

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Artwork for 消化肝病前沿资讯

Latest Episodes

本期播客围绕大肠腺瘤切除后的随访策略展开,打破“一刀切”复查的认知误区,结合日本2020年内镜指南,详解低风险、高风险腺瘤及锯齿状病变的分层随访标准,同时提醒肠镜洗净度、检查质量等易被忽视的细节,强调需结合年龄、合并症、家族史等个体化因素制定方案,实现医疗资源的合理配置。

00:06

随访需精细分层

00:37

低风险腺瘤随访策略

01:13

高风险腺瘤随访标准

01:57

大型息肉分割切除随访

02:41

锯齿状病变分类与特点

03:09

SSL病变随访方案

03:49

肠镜洗净度影响随访

0... more

本期播客聚焦代谢功能障碍相关脂肪性肝病(MASLD)美国胃肠病学会最新临床诊疗路径更新,从命名变化切入,详解优化后的筛查策略、两步式风险分层方法、不同纤维化阶段的治疗方案,同时探讨临床应用障碍、特殊人群管理难点及未来研究方向,为医疗工作者和大众提供全面的MASLD诊疗新认知。

00:06

MASLD更名与指南更新背景

00:55

筛查策略优化与高危人群划分

02:13

两步式风险分层之FIB-4初筛

03:06

FibroScan与替代检查方案

03:57

基础治疗与低风险用药方案

04:43 more

本期播客聚焦2型糖尿病与脂肪肝的深度关联,揭示二者在胰岛素抵抗、脂毒性、炎症等多环节形成相互强化的恶性循环。节目解析了从病理机制到临床筛查、药物治疗及生活方式干预的最新进展,强调需以系统思维综合管理,并呼吁跨学科协作与早期干预,以降低心血管风险、提升患者生活质量。

00:06

糖肝相依概念与高度共存

00:45

胰岛素抵抗致肝脂堆积

01:36

肝脂加重抵抗与炎症机制

02:17

脂毒性损肝又伤胰腺β细胞

03:10

多器官参与的代谢异常网

04:21

治疗需多靶点综合管理

05:14

非侵入两... more

本期播客聚焦消化科常见难题——长期服利伐沙班患者肠镜切息肉时如何平衡血栓与出血风险。详解美加胃肠病学会联合指南的分层管理思路,涵盖常规、高风险及小息肉切除的不同停药方案,分析特殊人群个体化调整要点,并以真实世界数据验证安全性,为临床提供清晰可落地的操作框架,助医生告别经验纠结。

00:06

临床灵魂拷问:抗凝停药两难

00:40

指南亮点:分层管理定风险

01:36

常规息肉切除:术前停2天恢复

02:37

高风险与小息肉切除方案对比

03:47

特殊人群需个体化调整策略

04:49

血栓高风险... more

本期播客带您深入了解胃肠道内镜止血与缺损闭合的核心器械——内镜夹系统。从1970年代首款夹子的诞生,到现代TTS夹与OTSC系统的技术演进,我们将详细解析其设计差异、临床应用场景、操作技巧及成功率数据。同时探讨新型夹子如MANTIS与Lockado的创新特点,并为年轻内镜医生提供阶梯式学习建议,全面展现这一微创治疗利器的魅力与局限。

00:06

内镜夹发展史与TTS设计

01:01

OTSC系统创新与全层闭合

01:51

两种夹子区别与选择标准

02:38

适用场景与常见操作误区

03:25

... more

本期播客聚焦老年胃肠镜检查的镇静麻醉选择,围绕最新系统综述与荟萃分析,对比瑞马唑仑与丙泊酚在老年群体中的有效性与安全性表现。内容涵盖两种药物的作用特点、研究设计、核心数据差异,同时探讨研究局限性与临床个体化用药考量,为老年患者及家属提供实用的检查麻醉参考,助力更安心的诊疗决策。

00:06

老年胃肠镜镇静背景介绍

00:33

研究引入与药物初步对比

01:19

丙泊酚特点与注射痛解析

02:05

瑞马唑仑特性与研究设计

02:58

研究指标与样本情况说明

03:50

两种药有效性数据对比

04:... more

本期播客聚焦消化内镜麻醉中的血氧监测,对比其与手术室麻醉的差异,讲解如何通过血氧数值、波形、灌注指数等判断心律失常、循环状态、上呼吸道梗阻等风险,分享不同ASA分级患者的监测策略,帮助麻醉从业者转变思维,善用现有数据提前预判风险,保障患者安全。

00:06

内镜与手术室麻醉差异

00:52

血氧监测风险收益权衡

01:54

波形判断心律失常类型

03:04

灌注指数反映循环状态

03:51

PI与波形判断循环问题

04:41

正弦波提示容量不足

05:17

波形预警上呼吸道梗阻

06:00

区分... more

本期播客聚焦2026年美国胃肠病协会发布的胃息肉最新临床实践更新,剖析其流行病学变化、病理类型差异及风险分层理念。从幽门螺杆菌感染率下降引发的息肉谱转变,到增强成像技术与整体黏膜评估的核心策略,详解不同息肉类型的特点与管理要点,涵盖内镜切除、活检方案及随访监测的个性化思路,强调从“单纯切息肉”转向“息肉+黏膜综合风险评估”的医疗模式变革。

00:06

胃息肉成内镜常客且类型多样

00:48

流行病学谱因医疗进步而改变

01:43

指南强调息肉与黏膜整体评估

02:37

增强成像技术及黏膜分型解析... more

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消化肝病前沿资讯 launched 4 months ago and published 238 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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