对患有状多症综合征的患者进行内镜控制的可行性和安全性
Michiko Nakaoka1, Hideyuki Chiba2, Mikio Kobayashi2
1Department of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan, michiko_cinnamon@ybb.ne.jp.
Digestive diseases (Basel, Switzerland)
|November 15, 2023
概括
状多综合征 (SPS) 可以通过内镜有效管理. 这项研究表明,适当的内镜技术能够在大多数SPS患者中控制多,从而最大限度地减少对手术的需要.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠手术 结肠直肠手术
背景情况:
- 状多综合征 (SPS) 经常需要手术干预,尽管内镜治疗的进展.
- 挑战包括大量或无法切除的息肉,复发和与治疗相关的不良事件.
研究的目的:
- 评估内镜治疗患者的疗效和安全性 对于患有状多症综合征 (SPS) 的患者.
- 评估内镜控制的速度和SPS患者手术干预的必要性.
主要方法:
- 在2011年至2022年期间治疗的43名SPS患者的回顾性分析.
- 在清除阶段计划切除所有≥3毫米的息肉,然后每年进行监视结肠镜检查.
- 使用了冷陷多面切除术 (CSP),内镜粘膜切除术 (EMR) 和内镜亚粘膜切除术 (ESD) 的组合.
主要成果:
- 88%的患者 (38/43) 在平均四次结肠镜检查后实现了内镜控制.
- 由于结直肠癌 (CRC),两名患者 (5%) 需要手术;三名 (7%) 正在等待治疗.
- 由于内镜治疗的困难,没有必要进行手术;延迟出血发生在0.3%的病例中.
结论:
- 适当的内镜管理可以有效控制状多症综合征.
- 内镜技术,包括CSP和ESD,是安全和有效的管理SPS的息肉.
- 成功的内镜治疗显著减少了SPS患者手术的需要.
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