新型的可重新打开的剪贴带着杆,可在结直肠内镜下粘膜剖析后促进粘膜缺陷的关闭:试点可行性研究 (附视频)
Naoya Tada1, Naoto Tamai1, Mamoru Ito1
1Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
概括
在结直肠内镜下粘膜剖析 (C-ESD) 后,新型的MANTIS Clip有效地关闭了大型粘膜缺陷,达到96.9%的完全关闭率. 这种新片段是预防C-ESD后不良事件的可行和可靠选择.
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
- 医疗器械 医疗器械
背景情况:
- 在结直肠内镜下膜解剖 (C-ESD) 后关闭粘膜缺陷对于预防不良事件至关重要.
- 使用常规片关闭大型粘膜缺陷存在重大技术挑战.
研究的目的:
- 评估MANTIS Clip的可行性和可靠性,这是一个带有杆的新型内分离器,用于在C-ESD后关闭粘膜缺陷.
- 在大量患者队列中评估MANTIS Clip的完整关闭率,手术时间和安全性.
主要方法:
- 一项回顾性研究涉及32名连续接受C-ESD和随后使用MANTIS Clip关闭粘膜缺陷的患者的病变.
- 评估患者的临床特征,缺陷大小 (中位数32毫米切除,23.5毫米瘤),病变位置,关闭成功,手术时间和不良事件.
主要成果:
- 在96.9% (31/32) 的病例中实现了完全关闭,包括所有直至61毫米的缺陷.
- 平均关闭时间为7.9分钟,使用了3个曼蒂斯剪贴和5个额外的常规剪贴.
- 没有报告与关闭,ESD后出血或延迟穿孔相关的不良事件.
结论:
- 曼蒂斯剪贴是一种可行的和可靠的工具,用于在C-ESD后关闭大型粘膜缺陷.
- 它提供了高的完整关闭率和短的程序时间,具有良好的安全性.
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