用水下吸管吸管伪多形成进行内镜性粘膜切除:一种简单的技术,用于治疗平面,尾孔或大肠门结直肠病变
Hugo Uchima1,2, Anna Calm1, Raquel Muñoz-González1,2
1Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain.
Endoscopy
|June 22, 2023
概括
水下吸管伪多形成 (CAP-UEMR) 提供了一种安全有效的方法来切除困难的结直肠病变. 这种技术以最小的并发症实现了100%的技术成功.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠手术 结肠直肠手术
背景情况:
- 非多重型结直肠病变,特别是平坦型或靠近尾孔或尾门的结直肠病变,造成切除的挑战.
- 传统的内镜粘膜切除 (EMR) 可能在这些特定的解剖位置有局限性.
研究的目的:
- 评估水下吸管伪多形成 (CAP-UEMR) 的安全性和技术成功,以切除具有挑战性的结直肠病变.
- 评估CAP-UEMR在结肠难以进入的区域的疗效.
主要方法:
- 从2020年9月到2021年12月在两个中心进行的连续CAP-UEMR程序的回顾性分析.
- 病变被吸入一个形的水下帽子,随后是陷切除,技术上的成功被定义为宏观的完整切除.
主要成果:
- 治疗了83个病变,包括64个平面/压缩病变,11个尾病变和8个大脑膜病变,中位尺寸为20毫米.
- 实现了100%的技术成功,有七次手术内和两次延迟出血 (全部通过内镜管理). 没有发生任何穿孔.
- 随访结肠镜检查显示,在64种病变中,只有一个病变复发,并通过内镜成功治疗.
结论:
- 水下吸顶伪多形成 (CAP-UEMR) 是一种安全有效的内镜技术.
- CAP-UEMR有助于切除非多聚体结直肠病变,包括那些具有挑战性的位置,如尾孔和大肠门.
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