在食道切除术后,在静脉狭窄症中内镜扩张的最佳直径
Dae Gon Ryu1, Cheol Woong Choi2, Su Jin Kim1
1Department of Internal Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Beomeo-Ri Mulgeum-Eup, Yangsan, 50612, Gyeongsangnam-Do, Korea.
Surgical endoscopy
|October 11, 2024
概括
对于经过食道切除术而出现静脉狭窄的患者来说,扩张到16.5毫米是最优的. 与18毫米扩张相比,这种直径可以减少狭窄的复发和出血,从而改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 内镜手术 进行内镜手术
背景情况:
- 解剖管狭窄是食道切除术后的一个常见并发症.
- 对于这些狭窄的内镜气球扩张的最佳直径仍然不清楚.
研究的目的:
- 为了确定最佳的目标直径,以内镜扩张的静脉狭窄性收缩后食道切除术.
- 评估扩张直径对收缩复发,无扩张期和并发症的影响.
主要方法:
- 普山国立大学扬山医院 (2009年1月 - 2024年6月) 的医疗记录的回顾性审查.
- 对43名患者的149个内镜扩张的分析,直径从10到18毫米不等.
- 收集的数据包括收缩复发率,无扩张期和并发症.
主要成果:
- 扩张至16.5毫米显示了最低的收缩复发率 (41.7%) 和最长的无扩张期 (中位数为490天).
- 与165毫米扩张相比,18毫米扩张 (54.5%) 的狭窄复发率更高.
- 在18毫米扩张组 (18.2%) 与16.5毫米组 (4.2%) 的术后出血率也更高.
结论:
- 在食道切除术后,直至16.5毫米的内镜扩张与门狭窄症的更好的结果有关.
- 与18毫米相比,16.5毫米的扩张直径会导致更低的复发率和减少出血.
- 这一发现为优化食道切除术后解管狭窄的内镜治疗提供了指导.
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