一个前性队列研究一种新的电术单元,用于预防结直肠后内镜下膜剖析凝血综合征
Takaya Shimura1, Hiroyasu Iwasaki1, Takanori Ozeki1
1Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Journal of gastroenterology and hepatology
|December 15, 2023
概括
在结肠直肠手术后,maXium电外科装置没有预防后内镜下粘膜切割凝血综合征 (PECS). 然而,它在本研究中表现出与现有设备可比的性能.
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
- 医疗器械技术 医疗器械技术
背景情况:
- 后内镜下粘膜解剖凝血综合征 (PECS) 是结直肠内镜下粘膜解剖 (ESD) 的已知并发症.
- 目前只有有限的干预措施可用于预防PECS.
- 这项研究评估了一种新型电外科装置maXium在PECS预防方面的潜力.
研究的目的:
- 评估maXium电术装置在预防结直肠ESD后PECS方面的有效性.
- 为了比较maXium单元与常规电术单元 (VIO300D) 的性能.
主要方法:
- 一项前性,单中心的队列研究,涉及接受结直肠ESD的患者.
- 测量电术装置的电压和功率设置.
- 基于视觉模拟尺度 (VAS),体温和白细胞计数的PECS定义.
- 将PECS分为I型 (没有外照空气) 和II型 (有周照空气) 的分类.
主要成果:
- 与VIO300D单元相比,maXium单元在电阻> 400 Ω时使用的功率较低.
- 分析了91名患者,总体PECS发病率为16% (90% CI,10-23%).
- I型PECS发生在11%的患者中,II型PECS发生在5%的患者中;7%的患者经历了没有PECS的简单外发光空气.
结论:
- 在结直肠ESD后,maXium电术装置并没有显著降低PECS的发病率.
- 该maXium装置表现出与结直肠ESD的传统电术装置相当的性能.
相关概念视频
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
122
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
122
01:25Endoscopic Procedures II: Colonoscopy
104
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
104
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88