免费的内镜全厚切除对十二指甲下皮损伤
Peirong Xu1,2, Zuqiang Liu1,2, Li Wang1,2
1Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Journal of gastroenterology and hepatology
|January 23, 2025
概括
自由手内镜全厚切除 (EFTR) 是有效的十二指甲下皮病变 (SELs) <2cm. 较大的或周周的病变增加了不良事件的风险,需要经验丰富的内镜医生来安全地进行EFTR.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 在瘤学瘤学.
背景情况:
- 十二指甲下皮病变 (SELs) 存在诊断和治疗方面的挑战.
- 内镜全厚切除 (EFTR) 为管理十二指肠SEL提供了一种最少的侵入性方法.
- 自由手的EFTR消除了对专门设备的需求,可能简化了程序.
研究的目的:
- 为了评估自由手内镜全厚切除 (EFTR) 对于十二指甲下皮病变 (SELs) 的疗效和安全性.
- 为了确定随着自由手EFTR后的不良事件相关的风险因素.
- 为了评估接受这种手术的患者的长期结果.
主要方法:
- 对105名患有十二指肠SEL的患者进行回顾性审查,这些患者接受了自由手EFTR.
- 对手术前数据,手术特征和术后结果的分析.
- 多变量回归分析以确定重大不良事件的独立风险因素.
主要成果:
- 高技术成功率 (99.0%) 和块切割率 (94.2%) 是通过自由手EFTR.实现的.
- 主要的术后不良事件发生在8.7%的患者中.
- 损伤大小 (≥2厘米) 和位置 (周围) 被确定为主要AE的独立风险因素.
结论:
- 自由手EFTR是一种安全有效的技术,用于非腹十二指肠SELs<2cm.
- 主要的副作用的发生率在较大的或周围的病变中显著更高.
- 由于十二指管的解剖学复杂性,自由手EFTR应该由经验丰富的内镜师进行.
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