热排泄与子血凝固用于管理非可吸收的息肉:一个多中心,随机对照试验
Chloe Attree1, Ravinder Ogra2, Ian F Yusoff1,3,4
1Gastroenterology Sir Charles Gairdner Hospital Nedlands Western Australia Australia.
概括
在最初的陷切除失败后,热排泄和血凝结对于去除困难的结肠聚体是有效的. 这两种方法在随访监测期间完成了多根除的可比安全性和有效性.
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:
- 不移除结肠病变的snare切除经常需要补充内镜技术.
- 评估用于完全根除多胞体的替代方法至关重要,当初始陷多胞体切除术不足时.
研究的目的:
- 为了比较热排泄与子血凝固在失败的完整陷多角切除术后结肠多瘤中瘤根除的疗效.
主要方法:
- 一个随机试验,比较热排泄和子血凝结,以完成非可凝结的息肉的切除.
- 采用了标准化技术和监测大肠镜在6,12和18个月后.
主要成果:
- 在18个月的剩余腺瘤发病率中,热排泄 (3.6%) 和血凝固 (6.6%) 之间没有显著差异.
- 在阿贡血凝固组中发现了一例转移性癌症,突出显示了组织获取的重要性.
结论:
- 热排泄和子血凝固都是安全有效的,用于完成非可缩放的结肠的切除.
- 这些技术为在胃肠内镜检查中具有挑战性的多片移除提供了可行的选择.
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