十二指甲下粘膜瘤内镜切除后的并发症和不完全切除的危险因素
Zi-Han Geng1,2, Yan Zhu1,2, Yi-Fan Qu1,2
1Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China.
Surgical endoscopy
|October 16, 2023
概括
内镜切除 (ER) 对十二指甲下粘膜瘤 (SMTs) 有效,78.7%的人实现了完全切除. 并发症的关键风险因素包括瘤位于乳头附近的位置和大小超过15mm.
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:
- 内镜切除 (ER) 越来越多地用于十二指甲下粘膜瘤 (SMTs).
- 十二指管ER携带出血和穿孔的风险,使其推具有争议.
- 十二指肠ER中并发症和不完全切除的临床结果和预测因素尚未完全理解.
研究的目的:
- 调查 ER 对十二指甲 SMT 的临床结果.
- 为了确定十二指肠ER后并发症的预测因素.
- 评估与十二指肠ER后不完全切除相关的因素.
主要方法:
- 对141名因十二指肠SMT而接受ER治疗的患者进行了回顾性分析.
- 对治疗结果的评估,包括完全切除率.
- 分析与程序相关的并发症,并通过多变量分析识别风险因素.
主要成果:
- 在78.7%的患者中实现了完全切除.
- 在6.4%的患者中出现并发症.
- 有关并发症的独立风险因素包括位于十二指卵泡附近的位置和瘤直径>15mm. 粘膜下纤维化,乳头附近,和不规则的形态预测不完整的切除.
结论:
- 内镜切除是十二指肠SMT的有效和最少入侵的治疗选择.
- 了解风险因素可以帮助优化患者选择和程序规划.
- 进一步的研究可能将重点放在精炼技术上,以尽量减少并发症并提高切除率.
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