在横向扩散的结直肠多中,内镜下粘膜切割的结果:来自印度的三级护理中心的经验
Zaheer Nabi1, Manchu Chaithanya2, Pradev Inavolu2
1Asian Institute of Gastroenterology, 6-3-661, Hyderabad, 500 082, India. zaheernabi1978@gmail.com.
概括
印度对结直肠多的内镜下粘膜切割 (ESD) 显示出高的技术成功率和完全切除率. 这种微创手术表明,不良事件发生率低,复发可控.
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:
- 内镜下粘膜切割 (ESD) 是对结直肠多的标准治疗方法.
- 关于印度的ESD结果的数据有限.
- 这项研究评估了印度人口中结肠和直肠腺瘤多的ESD疗效.
研究的目的:
- 评估ESD对结直肠多瘤的技术成功.
- 为了确定完全组织学切除的速率 (R0).
- 评估ESD后不良事件和复发的发生率.
主要方法:
- 连续接受ESD治疗结直肠多瘤的患者 (2018-2021) 的回顾性分析.
- 主要成果:ESD技术上的成功.
- 二次结果:R0切除率,不良事件和复发.
主要成果:
- 在70名患者中的91.4%的患者中,ESD在技术上是成功的.
- 在82.8%的病例中实现了完整的组织切除 (R0).
- 没有报告重大不良事件;复发率为5.7%,通过内镜进行管理.
结论:
- 在印度,ESD是一种安全有效的内镜治疗结直肠多的方法.
- 观察到技术成功率和R0切除率很高.
- 低的不良事件和复发率表明ESD在这种环境中的适用性.
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