水下与常规的内镜粘膜切除 ≥10毫米的状或平面结直肠多:一个系统的审查和元分析
Xue Wang1, Yue Wang1, Xueyan Cao1
1Medical Centre for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
PloS one
|March 7, 2024
概括
与传统的EMR (CEMR) 相比,水下内镜粘膜切除 (UEMR) 为大结直肠息肉提供了改进的整体切除率,R0和完整切除率. 此外,UEMR的速度更快,复发率更低,证明它是一种安全有效的替代方案.
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
- 结肠直肠癌 预防 预防
背景情况:
- 传统的内镜粘膜切除 (CEMR) 是结直肠多片去除的标准.
- 水下内镜粘膜切除 (UEMR) 是一种新兴的替代技术.
- 这项研究比较了≥10毫米的息肉的UEMR和CEMR.
结论:
- 对于大型 (≥10毫米) 状或平面结直肠多瘤,UEMR是一种安全有效的CEMR替代方案.
- UEMR显示出优异的切除和较低的复发率.
- 建议进行进一步的研究,以支持更广泛的UEMR采用.
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