用EUS指导的胃肠静脉术用于胃出口阻塞:一个全面的元分析
概括
内镜超声导向胃肠静脉切除术 (EUS-GE) 显示了胃出道阻塞 (GOO) 的高技术和临床成功. 这种最少的侵入性方法是有效的,与其他治疗方法相比较.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 手术瘤学手术瘤学
背景情况:
- 胃外道阻塞 (GOO) 是一个重大的临床挑战.
- 目前对GOO的处理选择有局限性.
- 透视超声导向胃肠静脉切除术 (EUS-GE) 已成为一种潜在的治疗方式.
研究的目的:
- 评估EUS-GE对良性和恶性GOO的疗效和安全性.
- 为了比较EUS-GE与外科胃肠口术 (SGE) 和肠道支架 (ES).
主要方法:
- 通过PubMed,Embase,Web of Science和Cochrane图书馆识别的研究进行了全面的元分析.
- 包括26项涉及1493名患者的研究.
- 主要结局包括技术成功,临床成功和不良事件 (AE).
主要成果:
- 针对EUS-GE的技术成功率为94.0%,临床成功率为89.9%,整体AE为13.1%.
- 与SGE相比,EUS-GE表现出类似的技术成功和明显较低的AE.
- 与ES相比,EUS-GE表现出相似的技术成功和优越的临床成功,具有较低的副作用.
结论:
- EUS-GE是一种高效的微创手术,用于管理GOO.
- 尽管面临技术挑战,EUS-GE的技术和临床成功率很高.
- EUS-GE为GOO处理提供了一个可行的和有效的替代方案.
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