与结直肠内镜下粘膜切割相关的并发症的管理
Tae-Geun Gweon1, Dong-Hoon Yang2
1Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Clinical endoscopy
|July 28, 2023
概括
结肠镜内镜下粘膜切除 (C-ESD) 与内镜粘膜切除 (EMR) 相比,提供更高的切除率和更低的结肠直肠瘤复发率. 本综述详细介绍了C-ESD并发症和管理策略.
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:
- 结肠镜内镜下粘膜切割 (C-ESD) 是治疗结肠直肠瘤的一种先进技术.
- 虽然有效,但C-ESD存在技术挑战和潜在的不良事件.
- 了解这些并发症对于安全的临床应用至关重要.
研究的目的:
- 为了分类和描述与C-ESD相关的并发症.
- 推C-ESD相关不良事件的管理选择.
- 提供C-ESD安全的全面概述.
主要方法:
- 关于C-ESD并发症的文献综述.
- 不良事件的分类包括出血,穿孔和ESD后凝血综合征.
- 对发现并发症的管理策略的分析.
主要成果:
- 对于结直肠瘤来说,C-ESD显示了比EMR更高的阻断切除率和更低的复发率.
- 流血是最常见的并发症,通常通过内镜进行管理.
- 穿孔,虽然不太常见,但可以通过内镜或手术来管理,这取决于严重程度和时间.
结论:
- 对于横向扩散的瘤和早期结直肠癌,C-ESD是一种有效的治疗方法.
- 诸如出血和穿孔等不良事件需要仔细监测和管理.
- 后ESD凝血综合征是一种未被认可的并发症,模仿腹膜炎.
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