在结肠内镜下粘膜解剖后,预防性剪贴关闭的罕见并发症
Tao Dong1, Renhu Sun1, Jun Xiao2
1Digestive Endoscopy Center, Affiliated Hospital of Nanjing University of Chinese Medicine.
Revista espanola de enfermedades digestivas
|September 5, 2024
概括
在结肠内镜下粘膜切割 (ESD) 后预防性缺陷关闭是常见的,但可能导致罕见的并发症. 有证据表明,益处仅限于特定的大,近端病变,质疑其广泛使用.
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
- 结肠直肠癌 预防 预防
背景情况:
- 预防性缺陷关闭旨在防止多角切除术后延迟出血.
- 最近的证据表明,益处仅限于大 (≥20毫米) 靠近的非形病变.
- 尽管证据有限,但在结肠内镜下粘膜解剖 (ESD) 后,预防性关闭经常被使用.
研究的目的:
- 为了突出一种罕见的并发症,与结肠ESD后的预防性剪贴关闭有关.
- 讨论当前临床实践对结肠ESD后缺陷关闭的基于证据的指导方针的影响.
主要方法:
- 病例报告呈现一种罕见的并发症.
- 在结肠ESD后预防性缺陷关闭现有文献的审查.
- 对临床实践模式与证据的分析.
主要成果:
- 在结肠ESD后观察到预防性剪贴关闭的罕见并发症.
- 该研究强调了与广泛采用的做法相关的潜在风险.
- 调查结果质疑预防性关闭在结肠ESD中的普遍应用.
结论:
- 在结肠ESD后预防性缺陷关闭可能导致罕见但严重的并发症.
- 临床实践应与证据保持一致,为特定病例保留预防性关闭.
- 可能需要进一步的研究来完善结肠ESD缺陷关闭的指示.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
133
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
133
Endoscopic Procedures II: Colonoscopy
66
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
66
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
63
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
63
Inflammatory Bowel Disease I: Ulcerative Colitis
159
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
159
Endoscopic Procedures III: Video Capsule Endoscopy
97
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
97


