结肠镜辅助皮肤透射西格莫伊多佩克西 (CAPS) 用于完整的直肠脱落治疗:病例系列
Junji Takahashi1, Masashi Yoshida1, Teppei Kamada1
1Department of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Japan.
Endoscopy international open
|October 11, 2023
概括
结肠镜辅助的皮肤通用西格莫伊多佩克西 (CAPS) 提供了对完全直肠脱落的安全有效治疗方法. 这种微创手术在大多数患者中可以解决便失禁,避免全身麻醉.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 最少侵入性手术的方法
背景情况:
- 在老年妇女中,完全的直肠脱落是普遍存在的,通常有并发症.
- 现有的治疗方法可能需要全身麻醉或结肠切除,这可能会带来风险.
- 结肠镜辅助的皮肤通用西格莫伊多佩克西 (CAPS) 已在先前的西格莫伊德卷发症中显示出有效性.
研究的目的:
- 评估CAPS在治疗完全直肠的疗效.
- 评估CAPS作为一种安全,简单和可靠的外科替代方案.
- 确定CAPS在局部麻醉下对高风险患者的适用性.
主要方法:
- 在2016-2021年期间,13名患有完全直肠的患者接受了CAPS.
- 在局部麻醉下,内镜直并将直肠固定在腹壁上.
- 一个双射将西格结肠固定在腹壁上.
主要成果:
- 患者的中位数年龄为88岁;中位数手术时间为30分钟.
- 在13名患者中,10名患者的便失禁得到缓解.
- 一个并发症涉及横横结肠穿刺,需要腹腔切除术.
结论:
- CAPS是一个快速而简单的程序,用于完全的直肠脱落.
- 它在局部麻醉下提供了可行的治疗选择.
- 在老年,并发病患者中,CAPS显示出对管理直肠的显著潜力.
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