内镜方法用于小肠狭窄症
Munish Ashat1, Rami El-Abiad1, Mouen A Khashab2
1Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Current opinion in gastroenterology
|June 30, 2023
概括
像EUS-胃肠口术这样的内镜方法为胃出口阻塞提供了有效的替代方案,特别是对于反复出现的良性或恶性狭窄. 这些方法表现出与手术相似的成功,并发症较少,住院时间较短.
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
背景情况:
- 胃出口阻塞 (GOO) 呈现良性或恶性原因.
- 传统的治疗方法包括气球扩张用于良性狭窄和金属支架用于恶性.
- 应用光层的金属支架已经有了先进的肠道支架和外科胃肠静脉切除术.
研究的目的:
- 审查用于小肠狭窄的内镜技术.
- 评估支持各种内镜实践的证据.
主要方法:
- 对GOO目前内镜方法的审查.
- 对气球扩张,肠道支架和EUS-胃肠口术的数据进行分析.
- 内镜与外科胃肠静脉术结果的比较.
主要成果:
- 肠道支架在患有恶性狭窄症的患者中是首选的,这些人有较低的预期寿命,不适合接受手术.
- 建议进行外科胃肠静止术,以确保长期存活.
- 通过EUS胃肠静脉切除术,显示出与手术胃肠静脉切除术相似的成功,副作用较少,住院时间较短.
结论:
- EUS-GE是一种有效的,耐受性良好的选择,用于复发的良性狭窄和恶性GOO.
- 考虑到预后,患者偏好和当地专业知识的个性化治疗至关重要.
- 内镜干预正在发展为GOO管理.
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