大型非形结肠直肠息肉管理:房间里的大象
Shirley X Jiang1, Neal Shahidi2
1Department of Medicine, University of British Columbia, Vancouver V6Z 2K5, BC, Canada.
World journal of gastroenterology
|July 15, 2024
概括
现在内镜切除是大多数大结肠直肠多的主要治疗方法,为手术提供了安全有效的替代方案. 这种最少的侵入性方法正在促进良性和早期癌症的结肠直肠瘤学.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠病学 (coloproctology) 是一种大肠直肠病学.
- 最少侵入性的手术
背景情况:
- 结肠直肠病学已经通过最少的侵入性创新得到了显著的进步.
- 对于结直肠癌 (CRC) 的治疗,越来越多地采用了不那么侵入性的外科手术技术.
- 内镜切除是低风险T1CRC的替代方案.
研究的目的:
- 突出内切除在管理大结直肠多瘤中的广泛作用.
- 讨论内镜技术与外科手术的确定的疗效,安全性和成本效益.
- 探索内镜容量的演变及其不断扩大的应用.
主要方法:
- 审查当前的内镜切除方法及其风险-益处概况.
- 对技术修改,辅助技术和不良事件缓解策略的分析.
- 在内镜干预中讨论多学科方法.
主要成果:
- 内镜切除是大多数大型 (≥20毫米) 非形结直肠多瘤的第一线策略.
- 与手术相比,内镜技术已经证明了良好的疗效,安全性和成本效益.
- 通过专门的技术和不良事件管理,结果不断得到改善.
结论:
- 内镜切除是管理大结肠直肠息肉和精选的早期CRCs的基石.
- 内镜技术的进步和多学科的合作提高了患者的治疗结果.
- 最少的侵入性内镜方法代表了结肠直肠病学的未来.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
139
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
139
Endoscopic Procedures II: Colonoscopy
79
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
79
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
71
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
71
Peptic Ulcer Disease IV: Management
85
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
85
Peptic Ulcer Disease V: Surgical Management and Nursing Care
282
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
282
Appendicitis-II: Diagnostic Studies and Management
74
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
74


