成人における腸内静脈受容: 系統的レビュー
Sidney Heersche1,2, Jeanne Hirt1,2, Fabio Butti1,2
1Department of Visceral Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland.
World journal of surgery
|August 20, 2025
まとめ
大人の腸内静脈の管理は議論されている. このレビューは,大腸内静脈離における悪性腫瘍のリスクを強調し,腫瘍学的切除を推奨し,リードポイントに基づいて腸内静脈離治療をガイドします.
科学分野:
- 胃腸内科
- 手術腫瘍学
- 腹部 外科
背景:
- 腸内静脈症の管理には,保守的対手術的アプローチに関するコンセンサスが欠けている.
- 腸内受精のための外科的処置の選択も議論されている.
研究 の 目的:
- 成人の腸内静脈の管理を 体系的に検討する.
- 大人の内静脈受容に対する治療決定アルゴリズムを開発する.
主な方法:
- PubMed/MEDLINE,Web of Science,Google Scholar,SCOPUS/EMBASE,およびコクラン図書館 (2004-2024) の体系的なレビューについて
- 症例報告と小規模な症例シリーズは除外された.
- 合計2330人の成人を対象とした37件の研究を分析した.
主要な成果:
- 腸内静脈は65%, 腸内静脈は21%, 腸内静脈は20%でした.
- 病理的なリードポイントは58%で,悪性腫瘍は25% (コロコリックではより高い) で発見された.
- 手術による治療は49%で,主にオープン手術 (72%) であった.
結論:
- 腸内置は悪性腫瘍の高い疑いを正当化し,縮小せずに腫瘍学的切除を推奨する.
- Enteric intussusceptionの管理は,長さ,プレゼンテーション,およびリードポイントの発見を考慮する必要があります.
- 手術データは異質で,標準化された報告の必要性を強調しました.
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