使用超薄内镜进行上部胃肠道内镜下粘膜剖析:一个回顾性,单中心评估
Yasuhiro Inokuchi1,2, Kyoko Furusawa3,4, Kei Hayashi3
1Department of Gastroenterology, Kanagawa Cancer Center, 2-3-2 Asahi-Ku, Nakao, Yokohama, Kanagawa, 241-8515, Japan. inokuchi.kcch@gmail.com.
Surgical endoscopy
|May 20, 2024
概括
使用超薄内镜进行内镜下粘膜切割 (ESD) 对于难以达到的胃肠病变是有效的. 这种最少的侵入性方法显示出高切除率和可管理的不良事件,提供了可行的治疗选择.
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:
- 使用超薄内镜进行内镜下粘膜切割 (ESD) 正在出现用于喉和远部胃肠病变.
- 这种技术的有效性和安全性数据有限.
研究的目的:
- 使用超薄内镜审查上部胃肠道ESD的治疗结果.
- 讨论这种微创方法的优点和预防措施.
主要方法:
- 在13名使用超薄内镜的患者中,对14例上部胃肠道ESD手术进行了回顾性分析.
- 结果措施包括病变特征,块切除率,完整切除率和不良事件.
主要成果:
- 对于食道,胃和十二指肠的病变,成功实现了封闭式切除 (100%) 和封闭式完全切除 (92.9%).
- 在十二指肠ESD期间发生了一次手术内穿孔,没有术后出血或延迟穿孔.
结论:
- 使用超薄内镜的ESD在具有挑战性的位置和狭窄空间的病变中是有效的.
- 这种技术是偏远胃肠狭窄症,纤维化病变和十二指肠瘤的合适选择.
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