在内镜切割的直肠损伤上进行宏观和组织学分析
Marcos Onofre Frugis1, Carmen Australia Paredes Marcondes Ribas2, Osvaldo Malafaia2
1Hospital 9 de Julho, Digestive Endoscopy Service - São Paulo (SP), Brazil.
概括
结直肠多是常见的,经常是带有发育不良的腺瘤,这是结直肠癌的前体. 内镜切除是这些直肠病变的安全有效治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 大肠直肠癌 (CRC) 是全球领先的恶性瘤.
- 结肠镜对于预防CRC至关重要,为腺瘤性病变提供诊断和治疗能力.
研究的目的:
- 分析直肠多性病变的患病率和特征.
- 评估内镜治疗直肠病变的安全性和有效性.
主要方法:
- 追溯观察性研究.
- 对接受直肠多切除的患者的医疗记录进行分析.
- 内镜切除技术包括多角切除术和宽膜切除术.
主要成果:
- 评估了123名患者;37%的人患有直肠息肉.
- 带有发育不良 (低级和高级) 的腺瘤是常见的发现.
- 内镜切除在91%的病例中实现了完整的病变去除; 4%的透性病变需要手术.
结论:
- 直肠多是普遍存在的,通常代表癌前病变.
- 内镜治疗是一种安全有效的治疗方式,用于直肠多.
- 结肠镜在治疗直肠病变方面发挥着至关重要的作用,防止结肠直肠癌的进展.
相关概念视频
Assessment of the Rectum and Anus
283
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
283
Histology of the Large Intestine
1.0K
The large intestine, a vital component of the gastrointestinal tract, is structured with four main layers: the mucosa, submucosa, muscularis, and serosa. Each layer performs a distinct role in facilitating the smooth functioning of the large intestine.
The innermost mucosa layer comprises simple columnar epithelium, lamina propria, and muscularis mucosae. This layer is primarily populated with absorptive cells, tasked with water absorption, and goblet cells, responsible for secreting mucus to...
The innermost mucosa layer comprises simple columnar epithelium, lamina propria, and muscularis mucosae. This layer is primarily populated with absorptive cells, tasked with water absorption, and goblet cells, responsible for secreting mucus to...
1.0K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119


