在内镜乳头切除术后复发的时间
Samuel Han1, Joshua A Turkeltaub2, Daniel Jonas3
1Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Surgical endoscopy
|November 28, 2023
概括
囊腺瘤的内镜乳头切除术 (EP) 的复发率为16.1%,许多病例在两年后出现. 建议在遵循EP程序后进行长期监测.
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:
- 内镜乳头切除术 (EP) 是对囊腺瘤的一种公认的治疗方法.
- 关于EP后长期腺瘤复发率的数据有限.
- 了解复发时间对于有效的患者管理至关重要.
研究的目的:
- 为了研究内镜乳头切除术后腺瘤复发的时间和速率.
- 为了评估长期的结果后EP为囊腺瘤.
主要方法:
- 针对囊腺瘤进行EP的患者的回顾性分析 (8/2000-1/2018).
- 纳入标准:确认完全根除腺瘤.
- 复发被定义为腺瘤组织学后阴性监测内镜;使用了卡普兰-梅尔估计.
主要成果:
- 136名腺瘤患者在EP后完全根除了腺瘤 (91.2%) .
- 在手术后平均3.2年的时间内,在16.1%的患者中观察到复发.
- 45%的复发发生在最初的两年监测后.
结论:
- 腺瘤复发是EP后的一个重大问题.
- 复发的时间表明需要延长监测期.
- 需要进一步的多中心研究来确定最佳的监测间隔.
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