| 标题： | 先天性食管闭锁术后胃食管并发症的评估与治疗 |
| title： | Evaluation and treatment of gastrointestinal complications following congenital esophageal atresia surgery |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 专家共识 |
| classification： | Experts consensus |
| 领域： | 诊疗 |
| field： | Diagnosis and Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 临床医师 |
| Guide users： | Surgeons and clinical physicians |
| 证据分级方法： | 本共识严格按照《临床指南和专家共识的基本概念与制定规范》制定内容，并采用"推荐分级的评价、制定和评估（grading of recommendations，assessment development， evaluation；GRADE）"系统对循证医学证据的质量和推荐意见的级别进行评估，将证据来源的质量等级分为以下四类：①高（A），未来研究几乎不可能改变现有疗效评价结果的可信度；②中（B），未来研究可能对现有疗效评估有重要影响，可能改变评价结果的可信；③低（C），未来研究很有可能对现有疗效评估有重要影响，改变评价结果的可信度的可能性较大；④极低（D），任何疗效的评估都很不确定。对证据推荐强度分为：①强推荐，明确显示干预措施利大于弊或弊大于利；②弱推荐，利弊不确定或无论质量高低的证据均显示利弊相当。所有推荐意见经过专家共识组至少75%的成员同意，最终形成以下共识。 |
| Evidence grading method： | This consensus has been strictly formulated in accordance with the "Basic Concepts and Formulation Norms of Clinical Guidelines and Expert Consensus"[4]. The "Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)" system was used to assess the quality of evidence and the strength of recommendations. The quality of evidence sources is classified into four categories: 1. High (A) - Future research is unlikely to change the credibility of the current efficacy evaluation results. 2. Moderate (B) - Future research may have a significant impact on the current efficacy evaluation and may change the evaluation results. 3. Low (C) - Future research is very likely to have a significant impact on the current efficacy evaluation, with a high possibility of changing the evaluation results. 4. Very low (D) - Any evaluation of efficacy is very uncertain. The strength of the recommendations is divided into: 1. Strong recommendation - Clearly shows that the benefits of the intervention outweigh the harms or vice versa. 2. Weak recommendation - The benefits and harms are uncertain, or the evidence shows that the benefits and harms are roughly equal regardless of quality. All recommendations were agreed upon by at least 75% of the expert consensus group members, ultimately forming the following consensus. |
| 制定单位： | 首都医科大学附属北京儿童医院 |
| Formulating unit： | Beijing Children's Hospital, Capital Medical University |
| 注册时间： | 2024-07-31 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN094 |
| Registration number： | |
| 指南制订的目的： | 本共识拟从胃食管反流、食管运动障碍、嗜酸性食管炎以及青少年和成人期胃食管疾病管理方面总结相关专家共识，以指导治疗过程，进一步规范先天性食管闭锁术后患者术后管理，提高患者术后生活质量。 |
| Purpose of the guideline： | This consensus aims to summarize relevant expert opinions on gastroesophageal reflux, esophageal motility disorders, eosinophilic esophagitis, and the management of gastroesophageal diseases in adolescents and adults. The objective is to guide the treatment process, further standardize the postoperative management of patients with congenital esophageal atresia, and improve their postoperative quality of life. |
