炎症性肠道疾病中的水辅助结肠镜:从技术含义到诊断和治疗潜力
Raffaele Pellegrino1, Giovanna Palladino2, Michele Izzo2
1Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples 80138, Italy. raffaele.pellegrino@unicampania.it.
水辅助结肠镜 (WAC) 在炎症性肠病 (IBD) 内镜检查期间改善了患者的舒适度和可视化. 这种技术提高了肠道清洁性,并促进了内镜切除,这对于IBD管理和结直肠癌查至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
背景情况:
- 传统的结肠镜与气体吸入导致患者的不适,阻碍了炎症性肠病 (IBD) 患者的细节性粘膜评估.
- 频繁和彻底的内镜评估对于管理IBD和查相关瘤至关重要.
研究的目的:
- 在IBD内镜的背景下,评估水辅助结肠镜 (WAC) 的技术机会和好处.
- 为了比较WAC技术 (水浸和交换) 与关于患者舒适性和可视化的传统方法.
主要方法:
- 在IBD患者的结肠镜检查期间应用浸水和水交换技术.
- 评估患者舒适度,肠道清洁度和内镜可视化质量.
- 评估腺瘤检测率和内镜切除的可行性.
主要成果:
- 与气体灌气相比,WAC显著改善了患者的舒适性,并减少了手术过程中的疼痛.
- 使用WAC.观察到增强的内镜可视化和优越的肠道清洁性.
- WAC可促进基本和高级内镜切除,包括多膜切除和内镜粘膜/膜切除.
结论:
- 水辅助结肠镜为IBD内镜提供了实质性的优势,改善了患者的体验和诊断产量.
- WAC是对结直肠癌查和管理IBD相关瘤的宝贵工具,提高了程序的安全性和有效性.
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