使用内环系统和单通道内镜关闭胃肠道穿孔:简单,可复制和标准化的方法的描述
Flavius-Stefan Marin1,2, Antoine Assaf3,4, Paul Doumbe-Mandengue3
1Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France. flaviusstefanmarin@gmail.com.
Surgical endoscopy
|January 19, 2024
概括
一种使用内环和剪贴的新内镜技术有效地关闭了大型阴性穿孔. 这种方法表现出高的技术成功和胃肠道缺陷关闭的最小并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 内镜手术 进行内镜手术
背景情况:
- 目前用于阳性穿孔的内镜治疗方法在缺陷大小,位置,复杂性和成本方面存在局限性.
- 需要有效和可访问的内镜解决方案来管理胃肠道穿孔.
研究的目的:
- 引入和评估一种新型的内镜技术,用于使用内环和剪贴来封闭阴性穿孔.
- 评估与这种新方法相关的技术成功率和切割后并发症的发生率.
主要方法:
- 采用两种类似的技术,使用单通道内镜关闭大孔 (≥10毫米).
- 一个内环被一个内部署或拖动,并使用多个剪贴将其固定在缺陷边缘的肌肉层上以进行关闭.
主要成果:
- 该技术应用于11名患有胃肠病变 (结肠直肠,尾,胃) 的患者,中位孔径为15毫米.
- 在所有情况下,使用6个剪贴的中位数,成功地封闭了墙壁缺陷 (100%的技术成功).
- 住院时间的中位数为4天,其中有一例是小腹部收集,另一例是切割后出血,两者都以保守的方式管理.
结论:
- 使用单通道内镜,剪贴和内环圈的新型内镜技术是安全的,可复制的,易于实施的.
- 这种方法确保了肌肉层的有效边缘到边缘的关闭,证明了出色的技术成功率.
- 该技术与不严重并发症的发生率最小相关,为穿孔管理提供了一个有希望的替代方案.
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