巨大的食道亚皮质病变的内镜切除:来自大型三级中心的经验
An-Yi Xiang1, Ke-Hao Wang1, Wei Su1
1Endoscopy Center and Endoscopy Research Institute, Shanghai Collaborative Innovation Center of Endoscopy, Zhongshan Hospital, Fudan University, Shanghai, China.
Gastrointestinal endoscopy
|October 18, 2023
概括
内镜切除对于食道巨型亚皮质病变是有效的. 基于患者和瘤因素,新型诺摩图预测了手术难度,提高了这种微创手术的安全性和结果.
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:
- 食道巨型亚皮质病变 (g-SELs) 越来越多地经历内镜切除 (ER).
- 评估ER的疗效,难度和安全性对于临床实践至关重要.
- 单一中心的经验为这个程序提供了宝贵的见解.
研究的目的:
- 评估食道g-SELs内镜切除的疗效,技术难度和安全性.
- 开发和验证ER程序困难的预测名录.
- 确定影响g-SELsER难度的因素.
主要方法:
- 针对食道g-SELs进行ER的75名患者的回顾性分析.
- 用多变量逻辑回归来开发一种用于程序困难的预测性名ogram.
- 使用ROC和校准曲线对名图的内部和外部验证.
主要成果:
- 高块切除率 (93.3%) 与低不良事件率.
- 预测困难的因素包括年轻的年龄,大的瘤大小 (≥8厘米),不规则的形状和外生长.
- 下道内镜切除与较低的难度有关.
结论:
- 内镜切除是食道g-SELs的一个可行的选择.
- 开发的诺米图准确地预测了ER的难度.
- 诺米图有助于预测和管理g-SELs在ER中的挑战.
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