结直肠多的水下内镜粘膜切除的结果-来自印度西部的见解
Sridhar Sundaram1, Gaurav Kumar Patil2, Aadish Kumar Jain1
1Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, 400 012, India.
概括
水下内镜粘膜切除 (uEMR) 是有效的去除大型状结直肠多体. 这种技术提供了高分块切除率和完整的息肉切除,并发症率低.
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:
- 水下内镜粘膜切除 (uEMR) 提供了常规内镜粘膜切除 (EMR) 的替代方案,用于状结直肠多体.
- 评估uEMR的疗效和安全性对于优化结直肠多治疗至关重要.
研究的目的:
- 评估uEMR在切除大于10毫米的状结直肠息肉中的有效性.
- 确定这些息肉的uEMR的安全概况,包括不良事件和复发率.
主要方法:
- 追溯分析159名患有261个静坐性结直肠多 (>10毫米) 的患者,他们接受了uEMR治疗.
- 排除其他内镜切除方法;专注于块切除,完全切除,不良事件和复发.
- 在2021年1月至2023年6月期间,从印度西部的两个三级护理中心收集的数据.
主要成果:
- 在98.46%的病变中实现了完全切除,在91.82%的病变中实现了块切除.
- 大多数病变位于直肠或西格结肠,具有巴黎0-Is形态.
- 在6.8%的病例中出现并发症,并通过内镜进行管理;在3.1%的病例中观察到复发.
结论:
- uEMR是一种安全有效的方法,用于切除超过10毫米的状结肠直肠息肉.
- 该技术表现出高块和完全切除率,支持其临床实用性.
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