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在第三级转诊中心内镜切除乳头术后的复发率和管理
Lorenzo Dioscoridi1, Durante Donnarumma1, Edoardo Forti1
1Digestive and Interventional Endoscopy, ASST GOM Niguarda, Milan, Italy.
概括
透视乳头切除术 (EP) 有效治疗囊性瘤,大多数残留和复发性腺瘤是通过透视管治疗的. 长期监测证实了EP的说法.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 在瘤学瘤学.
背景情况:
- 内镜乳头切除术 (EP) 是对膜病变的一种安全的手术.
- 关于在EP后管理残留和复发性腺瘤的数据有限.
- 这项研究涉及EP对囊瘤的长期结果.
研究的目的:
- 评估EP后的长期复发率.
- 确定EP后复发的中位时间.
- 评估治疗残留和复发性腺瘤的疗效.
主要方法:
- 在2011-2022年期间接受EP的95名患者的回顾性分析.
- 定义的残留腺瘤作为EP后的组织;复发腺瘤作为组织后的随访.
- 随访时间中位数为22.5个月.
主要成果:
- 在83名患者中发现了腺瘤 (LGD/HGD);在6名患者中发现了腺癌;在4名患者中发现了 NET.
- 局部残留腺瘤发生在28.4%的患者中.
- 重复治疗后11.6%的患者出现复发,16/68的患者在初始清除后出现复发. 大多数复发都通过内镜治疗.
结论:
- EP和随后的内镜治疗对囊性瘤是有效的.
- 长期监测表明,复发主要可以通过内镜干预来控制.
- EP为囊腺瘤和瘤提供了一种可行的治疗选择.
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