胃肠子皮下病变:管理和内镜切除技术的演变
Ahmad Abulawi1, Stephen Hasak2, Ricardo Marrero Torres3
1Division of Gastroenterology & Hepatology, Albany Medical College, 47 New Scotland Ave, Albany, NY, 12208, USA. abulawa@amc.edu.
Current gastroenterology reports
|February 8, 2025
概括
内镜超声波 (EUS) 有助于表征胃肠子皮层病变 (SEL). 先进的内镜切除技术为完全去除SEL提供了侵入性最小的,节省器官的选择.
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
背景情况:
- 亚皮质病变 (SEL) 是常见的胃肠道发现.
- 这些病变起源于肠道壁,被粘膜覆盖.
- 在内镜检查过程中,SELs通常是偶然发现的.
研究的目的:
- 审查SEL切除的内镜技术和设备的最新进展.
- 突出转向最少侵入性的内镜方法的转变.
主要方法:
- 内镜超声波 (EUS) 用于病变的表征和"内镜映射".
- 精细针芯活检 (FNB) 用于组织病理学诊断.
- 综述各种内镜切除技术:粘膜下道内镜切除 (STER),设备辅助内镜全厚切除和自由手全厚切除.
主要成果:
- 具有FNB的EUS对于SEL表征和组织采集至关重要.
- 有多种内镜切除技术可用,根据病变特征和内镜专家的专业知识进行选择.
- 与传统手术相比,对节省器官的内镜切除的趋势很明显.
结论:
- 对SELs来说,越来越喜欢微创性内镜切除.
- "第三空间"内镜和新设备的进步提高了切除技术.
- 内镜方法为胃肠道壁病变提供了有效和不那么侵入性的治疗方法.
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