一个新的片的有效性和安全性,用于使用十二指镜在内镜缩切除术后的出血
Atsushi Yamaguchi1, Hiroki Kamada2, Shigeaki Semba2
1Gastroenterology, Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Endoscopy international open
|October 16, 2024
概括
SureClip提供了一种安全有效的血液静止方法,用于内镜后缩切除术 (后EST) 后的出血. 这种内镜方法提供了高的成功率和最小的并发症,使其成为管理这种情况的有价值的选择.
科学领域:
- 胃肠病学 胃肠病学
- 进行内镜干预.
- 胃肠道出血管理 胃肠道出血管理
背景情况:
- 经内镜缩膜切除术后 (EST后) 出血缺乏标准化的血液静止策略.
- 新的十二指镜交付的剪贴 (SureClip) 对胃肠道出血有希望.
- 这项研究评估了SureClip对EST后出血停血的评估.
研究的目的:
- 评估SureClip在经过EST后出血的患者血液静止方面的有效性和安全性.
- 为了确定SureClip在实现完全静血的成功率.
- 在这种情况下,确定与SureClip使用相关的任何并发症.
主要方法:
- 追溯分析608名接受了内镜截切除术 (EST) 的患者.
- 在2019年至2023年期间,确定了41名患者 (6.7%) 患有EST后出血.
- 在24名接受SureClip治疗的患者中评估了血静结局和并发症.
主要成果:
- 在有紧急出血的12名患者中,有11名 (91.7%) 患者成功实现了血静.
- 在12名延迟出血患者中的11名 (91.7%) 患者中,成功实现了血静.
- 没有观察到穿孔或胰腺炎等并发症;没有发生管道错切.
结论:
- SureClip 止血是安全,有效和经济高效的后EST出血.
- SureClip可以被认为是后EST出血的主要治疗选择.
- 它特别推用于气球压缩疗法耐火的病例.
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