无症状的十二指腺亚皮质病变的临床过程
Seokin Kang1,2, Kwangbeom Park1,3, Do Hoon Kim1
1Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
The Korean journal of internal medicine
|June 13, 2024
概括
大多数十二指甲下皮病变 (SELs) 是稳定的. 然而,那些最初20毫米或更大的需要定期内镜监测,因为潜在的变化和恶性瘤的风险.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内镜检查是指内镜检查.
背景情况:
- 由于对其自然进展的理解有限,十二指甲下皮病变 (SELs) 的管理具有挑战性.
- 这项研究解决了关于无症状十二指肠SELs自然过程的知识差距.
研究的目的:
- 为了评估无症状的十二指甲下皮层病变的自然过程.
- 建立基于证据的对十二指肠SELs的管理建议.
主要方法:
- 对被诊断患有十二指甲SEL的患者的回顾性分析,并跟踪至少6个月.
- 从2008年至2020年对食管-胃管-腹腔镜检查数据的审查,确定了1,713名患有十二指肠SEL的患者.
- 监测了396个十二指肠SEL,平均时间为72.5个月.
主要成果:
- 只有4.0% (16/396) 的十二指肠SEL显示出大小或形态的显著变化.
- 最初的病变大小为20毫米或更大,与间隔变化有显著联系 (p=0.016).
- 诊断包括切除或活检的病变中的脂瘤和胃肠道 stromal 瘤.
结论:
- 大多数十二指肠SELs随着时间的推移表现出稳定的特征.
- 建议对十二指肠SEL进行定期内镜后续检查,最初的尺寸为20毫米或更大.
- 监测对于在较大的十二指甲下皮病变中监测潜在的恶性瘤至关重要.
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