超薄内镜在食道内镜下粘膜剖析中的有用性
Daisuke Kikuchi1, Yugo Suzuki1, Yusuke Kawai1
1Gastroenterology, Toranomon Hospital, minato-ku, Japan.
Endoscopy international open
|September 12, 2024
概括
超薄内镜显示出难以进行食道内镜下粘膜切割 (ESD) 的前景,特别是在狭窄和痕的情况下. 这项研究发现,它们在切除食道挑战性部位的病变方面是安全有效的.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术创新 在外科创新.
背景情况:
- 食道内镜下粘膜切割 (ESD) 由于解剖学狭窄和痕而带来挑战.
- 传统的内镜可能在访问和治疗这些难以进入的食道区域的病变方面存在局限性.
研究的目的:
- 评估超薄内镜在执行食道ESD时的安全性和实用性.
- 评估使用具有超薄内镜的专用设备进行复杂解剖的可行性.
主要方法:
- 在2021年2月至2023年2月期间,通过超薄内镜进行的26次食道ESD手术的回顾性分析.
- 使用了一种新开发的透明罩和用于超薄内镜的ESD刀.
- 结果与303个用传统方法治疗的病变的更大队列进行了比较.
主要成果:
- 用超薄内镜治疗的所有26个病变都成功地进行了整体切除,没有像穿孔或显著出血等严重并发症.
- 病变经常位于具有挑战性的区域,包括门缩 (38.6%),痕 (50%) 和宫食道 (46.2%).
- 平均手术时间为64.1分钟,平均切口到口袋创建时间为121.2秒.
结论:
- 超薄内镜是食道ESD的安全和有效工具,特别是在涉及狭窄,痕和困难解剖位置的情况下.
- 专用设备有助于成功切除以前被认为对传统内镜方法具有挑战性的病变.
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