对于涉及牙线的直肠瘤,内镜下膜剖析对肠功能的影响
Yumie Kobayashi1, Shusei Fukunaga1, Atsushi Kanamori1
1Department of Gastroenterology, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
对于直肠瘤,内镜下粘膜切割 (ESD) 可能会改变直肠功能,特别是如果涉及牙线. 大多数患者在手术后没有明显的排便问题.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
背景情况:
- 内镜下粘膜切割 (ESD) 能够对大直肠瘤进行封锁切除.
- 对于ESD对直肠排泄功能的影响仍未得到充分研究.
研究的目的:
- 研究ESD对直肠形态和排便功能的影响.
- 分析接受直肠ESD的患者手术前后的变化.
主要方法:
- 一项前性观察性研究,对11名患有直肠瘤的患者进行ESD.
- 在ESD前后的评估包括直肠测量和排泄学.
- 在ESD后的评估中,还包括检查前镜,以评估和狭窄.
主要成果:
- 涉及牙线的切除 (55%的病例) 导致功能性门通道长度显著减少 (3.4厘米至2.8厘米).
- 一名患者在ESD后经历了不完全的疏散和失禁.
- 在一些患者中观察到先前存在的直肠细胞的消失.
结论:
- 直肠ESD通常不太可能导致长期严重的排便问题.
- 涉及牙线的切除可能会导致直肠形态和功能的改变.
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