扩大内镜边界:内镜切除大尾孔聚体,并进行内镜粘膜切除和内镜亚粘膜剖析
Ankur P Patel1, Mai A Khalaf2, Margarita Riojas-Barrett3
1Department of Internal Medicine, Baylor College of Medicine, Houston, TX 77030, United States.
World journal of gastrointestinal endoscopy
|June 5, 2023
概括
像EMR和ESD这样的内镜切除技术对于大尾多瘤是有效的,提供高R0切除率和最小的不良事件. 这些内镜手术是手术的安全替代方案,用于管理这些具有挑战性的息肉.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 传统上,大型尾孔的息肉需要进行手术.
- 内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 已经成为可行的内镜替代方案.
研究的目的:
- 评估内镜切除技术的有效性和安全性,用于管理大尾孔聚体.
- 评估EMR和ESD在美国第三级推中心的可行性和安全性.
主要方法:
- 从2015年到2022年,对19名患有尾孔多≥1厘米的患者进行了回顾性观察性研究.
- 结果包括块式切除,R0切除率,不良事件和聚复发.
- 使用的程序是EMR,ESD和混合技术.
主要成果:
- 平均的息肉大小为25.5毫米,其中68%占据了尾孔周长的50%以上.
- 在84%的病例中实现了集体切除,在88%的病例中实现了R0切除.
- 89%的患者在同一天出院,副作用最小,随访期间没有报告复发.
结论:
- 对于大尾息肉,EMR,ESD和混合程序是适当和安全的内镜技术.
- 这些内镜方法为手术提供了经过验证的,最少侵入性的替代方案.
- 这项研究证实了内镜切除对于具有挑战性的尾息肉管理的有用性.
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