概括
内镜粘膜切除 (EMR) 有效地管理查期间发现的大型结肠直肠多. 这种微创手术的复发率和并发症率很低,在大多数情况下避免了手术.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 结肠直肠癌查程序中的结肠镜经常检测出大型非形结肠直肠多体 (LNPCPs).
- 内镜粘膜切除 (EMR) 是用于LNPCP管理的关键内镜切除技术.
- 关于EMR在查环境中的临床结果的数据有限.
研究的目的:
- 评估内镜粘膜切除 (EMR) 对于在结直肠癌查期间发现的大型非脚结直肠聚合体 (LNPCPs) 的临床结果.
- 在查计划设置中评估EMR的安全性,有效性和复发率.
主要方法:
- 一个前性维护的内镜粘膜切除 (EMR) 数据库的回顾性分析.
- 在5年期间,在一个中心包括来自BowelScreen计划的患者.
- 复查聚的特征,切除结果,并发症和监测数据.
主要成果:
- 50名患者中的52个LNPCP通过EMR切除,中位数大小为25mm.
- 在7.8%的标本中发现了腺癌;整体并发症率为5.7%.
- 复发率为8.3%,其中92%的患者避免了手术,复发可以通过内镜治疗.
结论:
- EMR是结直肠癌查计划中发现的复杂的息肉的有效和最终治疗方法.
- 低复发率和并发症率证实了EMR在查中的价值.
- 后EMR监测有效地检测和管理复发,证明了患者的高度遵守.
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