用于消化道缺陷的内镜接和剪切装置
Apostolis Papaefthymiou1, Benjamin Norton2, Andrea Telese2
1Division of Gastroenterology, Cleveland Clinic, London, UK.
Best practice & research. Clinical gastroenterology
|July 25, 2024
概括
穿透透视镜剪切 (TTSC) 和超视镜剪切 (OTSC) 等内镜组织附加装置用于胃肠道缺陷. 本综述澄清了由于各种缺陷形态的不同,针对特定适应症的器械角色.
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
- 医疗器械技术 医疗器械技术
背景情况:
- 胃肠道 (GI) 光线缺陷 (穿孔,泄漏,) 在内镜干预中存在挑战.
- 目前的内镜组织应用技术包括透视镜剪切 (TTSC),超视镜剪切 (OTSC) 和 suturing.
- 由于缺陷异质性和特定于设备的因素,缺乏明确的指导方针,需要基于证据的建议.
研究的目的:
- 对内镜组织附着装置的现有证据进行审查.
- 在GI缺陷关闭中划出每个设备的具体指示和作用.
- 为基于证据的实践在内镜组织应用提供基础.
主要方法:
- 对内镜组织附着装置的文献进行系统审查.
- 对报告TTSC,OTSC和接技术的研究分析.
- 评估有关缺陷特征,设备性能和结果的数据.
主要成果:
- 根据缺陷的大小,深度和位置,TTSC,OTSC和接具有不同的应用.
- 设备的选择受胃肠道内解剖部位和缺陷复杂性的影响.
- 有证据表明,不同的设备和适应症的成功率和并发症概况各不相同.
结论:
- 消化道缺陷的最佳内镜闭合需要仔细考虑设备特定的能力.
- 需要进一步的研究来规范组织附着技术的建议.
- 本综述旨在指导内镜医生选择最适合特定胃肠道光线缺陷的设备.
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