结肠道的冷蛇切除:什么时候选择,什么时候避免,以及如何做
John J Guardiola1, Joseph C Anderson2, Tonya Kaltenbach3
1Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana.
概括
冷陷切除是大多数结直肠多瘤的首选方法,与电术相比,提供较低的出血风险. 这种技术非常适合小息肉和某些较大的息肉,对于高级病例有特别考虑.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
背景情况:
- 冷陷切除越来越受欢迎用于结肠直肠多片的去除.
- 它的延迟出血风险低于电方法.
研究的目的:
- 审查冷陷切除的最佳技术和技巧.
- 在结肠镜检查中划出冷陷切除的适当应用.
主要方法:
- 审查当前的文献和临床指导方针的冷陷切除.
- 讨论影响技术选择的损伤特征.
主要成果:
- 对于≤10毫米的息肉和非形的形形病变,建议进行冷陷切除.
- 一般情况下,对于具有下粘膜入侵或纤维化高风险的病变,应避免使用.
- 讨论了对特定较大的病变 (11-19毫米) 和横向扩散病变 (≥20毫米) 的考虑.
结论:
- 冷陷切除是一种安全有效的技术,用于广泛的结肠直肠多.
- 适当的患者和病变选择对于优化结果和尽量减少并发症至关重要.
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