胃肠内镜中的水下技术:潜入深处
Sandro Sferrazza1, Giulio Calabrese1, Roberta Maselli2,3
1Gastroenterology and Endoscopy Unit, ARNAS Civico Di Cristina Benfratelli Hospital, 90127 Palermo, Italy.
Cancers
|October 26, 2024
概括
水下内镜技术,包括水下内镜粘膜切除 (U-EMR),对于胃肠病变是有效的. 现在U-EMR是特定结肠和十二指肠瘤的标准,目前正在研究先进的程序.
科学领域:
- 胃肠病学和内镜检查
- 最少侵入性的手术
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 胃肠病变的内镜切除技术已经显著发展.
- 2012年推出的水下内镜,为基本和高级内镜手术提供了新的方法.
- 这些技术旨在提高切除各种胃肠病变的安全性和有效性.
研究的目的:
- 提供关于胃肠内镜水下内镜技术当前状况的全面更新.
- 评估水下基本和高级内镜手术的可行性,有效性和安全性.
- 评估水下技术在管理不同类型的胃肠病变中的作用.
主要方法:
- 目前关于水下内镜技术的文献综述,包括水下内镜粘膜切除 (U-EMR),内镜亚粘膜剖析 (ESD) 和口腔内镜肌切除 (POEM).
- 对这些技术在各种胃肠道部位 (结肠,十二指肠,食道,胃,腹囊) 的疗效和安全性进行数据分析.
- 水下技术与传统方法的比较,包括二氧化碳吸入.
主要成果:
- 水下内镜粘膜切除 (U-EMR) 是有效和安全的结肠病变>10毫米和复发性病变.
- U-EMR是表面非腹膜十二指管瘤 (<25毫米) 的标准.
- 有望的可行性数据存在于水下内镜下粘膜切割 (U-ESD) 和水下口腔内镜肌切割 (U-POEM),尽管需要进一步的研究.
结论:
- 水下内镜粘膜切除 (U-EMR) 已被确立为特定结肠和十二指肠病变的护理标准.
- 水下技术在ESD和POEM等先进的内镜程序中显示出潜力.
- 需要进一步的前性研究来规范水下技术,以进行先进的内镜下膜剖析和口腔内镜肌切除术.
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