与胃高塑性息肉复发相关的危险因素:一个单中心,长期,回顾性队列研究
Yuri Kim1, Seokin Kang2, Ji Yong Ahn3
1Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Surgical endoscopy
|July 12, 2023
概括
在内镜切除后,胃高增生息肉 (GHP) 的复发与息肉的大小,多重性和表面特征有关. 长期跟踪至关重要,因为随着时间的推移,复发风险会增加.
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
- 在瘤学瘤学.
背景情况:
- 胃增生息肉 (GHP) 是常见的,但复发率和内镜切除后的最佳后续策略尚未明确.
- 了解复发因素对于管理GHP患者和预防潜在并发症至关重要.
研究的目的:
- 为了研究10年期间GHP复发的累积发病率.
- 为了确定与切除后GHP复发相关的临床和内镜因素.
主要方法:
- 在1995年5月至2020年12月期间,从869名患者切除的1,018个GHP (>1厘米) 的回顾性审查.
- 复发性和非复发性GHP群体之间的患者和息肉特征的比较.
- 单变量和多变量分析以确定GHP复发的风险因素.
主要成果:
- 总共有12.0%的患者经历了GHP复发.
- 与非复发性聚相比,复发性GHP显著更大,更频繁多个,并且表现出更多的分球和排泄物.
- 在切割后10年,累计复发发病率达到19.6%.
结论:
- 随着随访时间的延长,GHP复发风险会升级.
- 大尺寸,多重性,分片和排泄物是GHP复发的关键预测因素.
- 建议针对这些风险因素的患者量身定制的监测策略.
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