用于管理大结直肠多,狭窄和泄漏的内镜技术
Stuart R Gordon1, Lauren S Eichenwald1, Hannah K Systrom1
1Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, NH, Lebanon.
查结肠镜检查与多片的去除显著减少结肠直肠癌 (CRC) 的死亡. 由于安全原因,冷陷多角切除术偏好用于小小的息肉,而先进的技术可以处理较大的息肉.
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:
- 结肠直肠癌 (CRC) 仍然是全球癌症死亡的主要原因.
- 查结肠镜检查与多片去除对于降低CRC发病率和死亡率至关重要.
- 腺体多是CRC的前体,因此检测和去除它们至关重要.
研究的目的:
- 为提供对结直肠多瘤的内镜多瘤手术技术的概述.
- 讨论先进的内镜方法来管理复杂的结肠状况,如阻塞和大息肉.
- 要总结穿孔和的内镜闭合技术.
主要方法:
- 审查内透镜多样镜术技术,包括冷和热陷多样镜术.
- 讨论高级内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 对于大型多重体.
- 对结肠阻塞,液体收集,穿孔和管的内镜管理策略的概述.
主要成果:
- 冷陷多角切除显示出优越的安全性和可比的切除率,以热陷的小息肉 (<10毫米).
- 像EMR和ESD这样的先进技术对于切除具有先进特征的大型息肉 (>10毫米) 是必要的.
- 内镜干预为结肠阻塞,液体积聚,穿孔和抽提供了有效的管理,经常避免手术.
结论:
- 透视多角切除术,特别是冷切除术,是预防CRC的有效方法.
- 先进的内镜技术对于管理复杂的结肠病变和疾病至关重要.
- 内镜干预为各种结肠病理提供安全有效的解决方案,改善患者的治疗结果.
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