巨型结肠多的内镜治疗:意大利的一项回顾性研究
Paolo Quitadamo1, Sara Isoldi1, Germana De Nucci2
1Pediatric Gastroenterology and Hepatology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
巨型息肉的切除是具有挑战性的. 上腺素体积减小 (EVR) 提供了一种安全有效的内镜替代方案,可以在没有并发症的情况下实现完全切除,与其他方法或手术不同.
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
- 在瘤学瘤学.
背景情况:
- 巨型息肉 (>30毫米) 带来了显著的内镜去除挑战.
- 准确的组织病理阶段测定对于巨型息肉的诊断,预后和管理至关重要.
- 内镜去除技术会影响切除样品的质量.
研究的目的:
- 评估上腺素体积减小 (EVR) 方法对巨型息肉切除的安全性和有效性.
- 为了比较EVR与内循环/剪切和手术干预巨型息肉.
- 确定最优的内镜技术,以实现适当的组织病理学分期.
主要方法:
- 对38个巨型息肉的回顾性分析.
- 使用上腺素体积减小 (EVR) 的18个多角切除术.
- 九个使用内循环或剪切的多角切除术.
- 有11次手术切除.
主要成果:
- 在所有病例中,EVR在准确的基因病理阶段确定下实现了块切除.
- 没有观察到EVR的早期或延迟并发症.
- 内环/剪切导致11.1%的先进组织学,11.1%的延迟出血.
- 手术导致45.5%的患者过度治疗,3名患者出现并发症.
结论:
- 上腺素体积减小 (EVR) 是一种安全,有效和经济高效的内镜技术,用于巨型息肉切除.
- EVR 便于立即进行多角切除术,避免延迟.
- 建议进行进一步的前性研究,以完善EVR技术.
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