在切除大结肠多体后预防延迟出血
Hein Htet1, Gaius Longcroft-Wheaton1
1Portsmouth Hospitals University NHS Trust, UK.
Best practice & research. Clinical gastroenterology
|May 15, 2024
概括
在大结肠息肉切除后延迟出血是一个严重的风险. 本综述讨论了冷内镜粘膜切除 (EMR) 和术后剪贴关闭等技术,以尽量减少这种危及生命的并发症.
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
背景情况:
- 延迟出血是大,复杂的结肠多瘤切除后的一个显著的并发症.
- 这种并发症可能发生在手术后的两周内,并构成危及生命的风险.
研究的目的:
- 审查和讨论技术的证据基础,以尽量减少结肠多切除后延迟出血.
- 为了解决围绕当前内镜静血策略的争议.
主要方法:
- 对结肠多切除的内镜技术的当前文献的综述.
- 讨论冷内镜粘膜切除 (EMR).
- 评估EMR后的剪贴关闭和局部静血剂.
主要成果:
- 延迟出血仍然是切除大结肠息肉的一个重大挑战.
- 目前正在开发各种技术来减轻这种风险.
- 具体预防措施的证据需要进一步评估.
结论:
- 尽量减少延迟出血是现代内镜的优先事项.
- 寒冷EMR,EMR后的剪贴关闭和静血剂是重点关注的关键领域.
- 需要进一步的研究,以建立最佳的策略,以防止多角切除术后出血.
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