在没有下内注射的情况下内镜切除大型非形结肠多,在适当的技术下是安全有效的
Melis Gokce Celdir1, Gilles Jadd Hoilat1, Alp Serhat Kahveci1
1Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
Journal of clinical medicine
|January 25, 2025
概括
没有下膜注射 (SI) 的大结肠直肠多片去除是可行的和安全的,与标准SI技术相比,显示出类似的出血和穿孔率. 需要进一步的试验来证实这些发现对于内镜切除.
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
- 结肠直肠癌 预防 预防
背景情况:
- 下注射 (SI) 与升高多角切除术是大型非踏脚结直肠多瘤的标准.
- 有限的比较数据存在于安全性和有效性的大型多面切除与没有SI.
研究的目的:
- 评估没有SI的结直肠多切除的可行性和安全性.
- 为了比较大型非脚型多重体的SI和无SI多重体的结局.
主要方法:
- 从2018年至2021年对200个大型非踏脚结直肠多切除 (≥20毫米) 的回顾性研究.
- 收集了有关人口统计,多体特征,切除技术,并发症和复发情况的数据.
- 与SI切除的和没有SI切除的息肉之间的比较.
主要成果:
- 两组之间延迟出血率没有显著差异.
- 穿孔发生在SI的5个案例中,没有一个没有SI (不具有统计学意义).
- 6-12个月后类似的多复发率 (12%的非SI与8%的SI).
结论:
- 在没有SI的情况下完全去除大型非支柱状息肉是可行的和安全的.
- 没有SI的方法显示了与常规SI使用相似的结果,关于出血和穿孔.
- 建议进行随机试验,以进一步验证没有SI的多角切除术的安全性和有效性.
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