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灵活的内镜治疗Zenker的分离器-一个回顾性,观察性多中心研究

Ingo Steinbrück¹, Viktor Rempel², Armin Kuellmer³

¹Department of Medicine and Gastroenterology, Evangelisches Diakoniekrankenhaus Freiburg, Academic Teaching Hospital, University of Freiburg, Freiburg, Germany. ingo.steinbrueck@diak-fr.de.

Surgical endoscopy

|September 13, 2024

概括

灵活的内镜Zenker可以使用.

科学领域:

胃肠病学和内镜检查
最少侵入性的手术

背景情况:

禅克的分泌器治疗指南建议使用柔性内镜.
对内镜治疗的有效性和安全性的证据由于稀有性而有限.
现有证据主要来自小型,回顾性,单中心研究.

研究的目的:

评估柔性内镜Zenker的分泌器切除术的有效性和安全性.
评估结果,包括技术/临床成功,不良事件和复发情况.
在多中心环境中比较不同的切口技术和附件.

主要方法:

追溯性,观察性,多中心队列研究.
来自德国六个高等推中心的数据 (2003-2024年).
分析了技术成功,临床成功,不良事件,再入院和死亡率.

主要成果:

在327名患者中进行了384次治疗 (平均年龄为74.7岁).
高技术 (99.2%) 和临床 (97.4%) 的成功率.
副作用 (11.2%),再入院 (16.7%) 和死亡率 (0.3%) 都很低.

结论:

灵活的内镜Zenker的分泌器切除术是安全和有效的.
复发的Zenker's转体可以通过内镜成功治疗.
没有任何特定的切割方法,设备或预防措施显示出优越性.

关键词:

不同类型的分离体.消化道分泌器的分泌器灵活的内镜治疗.灵活的内镜治疗方法这是Zenker的分离器.

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