胃水下内镜粘膜切除的可行性和有效性
Dong Hyun Kim1, Seon Young Park1, Jin Won Kim1
1Department of Internal Medicine, Chonnam National University Hospital and Medical School, Gwangju 61469, Republic of Korea.
Diagnostics (Basel, Switzerland)
|March 13, 2024
概括
水下内镜粘膜切除 (UEMR) 是小到中等胃瘤的安全和有效的内镜技术,提供高切除率和比ESD更短的程序时间. 需要进一步的试验来确定UEMR作为标准的胃癌治疗.
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:
- 胃癌是全球主要的健康问题,需要先进的治疗策略.
- 包括EMR和ESD在内的内镜切除改善了胃瘤管理.
- 在胃中进行水下内镜粘膜切除 (UEMR) 的疗效仍在研究中.
研究的目的:
- 评估UEMR对于胃瘤的安全性和有效性.
- 为了将UEMR结果与已建立的内镜切除技术进行比较.
主要方法:
- 在高等医疗中心进行了回顾性观察性研究.
- 包括81名患有胃瘤的患者接受UEMR.
- 对切除率,并发症发生率和手术时间的分析.
主要成果:
- UEMR实现了100%的块切除率和93.8%的R0切除率.
- 该技术表明并发症率很低.
- 与内镜下粘膜解剖 (ESD) 相比,UEMR手术时间显著缩短.
结论:
- 超微波磁共振是小到中等胃瘤的高度有效和安全的内镜选择.
- 虽然效率高,但在某些情况下,UEMR可能需要转换为ESD.
- 建议进行随机试验,以验证UEMR用于标准胃癌治疗.
相关概念视频
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
115
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:
115
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
303
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
303