降低障碍:评估直肠的内镜结
Umesh Jalihal1,2, Madduri Pavan Kumar2, Irshad Ali H1
1Karnataka Gastro Centre, Bengaluru, 560086, India.
Journal of clinical and experimental hepatology
|February 10, 2025
概括
内镜静脉结 (EVL) 有效地治疗导致下胃肠道出血的直肠静脉. 这种微创手术提供了一个安全而成功的选择来管理这些具有挑战性的静脉,即使在资源有限的环境中.
科学领域:
- 胃肠病学 胃肠病学
- 进行内镜干预.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 门高血压经常导致直肠静脉,这种情况可能导致显著的下部胃肠道出血.
- 虽然不像食道或胃的静脉瘤那么常见,但直肠静脉瘤具有独特的诊断和治疗挑战.
研究的目的:
- 评估内透视绑法 (EVL) 治疗直肠的疗效和安全性.
- 为了评估EVL的长期结果在患有由于直肠静脉的下部胃肠道出血的患者.
主要方法:
- 一个涉及五名患者的病例系列,其中包括来自直肠静脉的下肠道出血.
- 所有患者都经历了成功的EVL手术,完全消除了水.
- 六个月后进行后续内镜检查,并进行了5年后续检查.
主要成果:
- 在所有五名患者中,EVL在没有立即并发症的情况下完全消除了直肠静脉.
- 一名患者需要三次EVL治疗,两名患者需要两次额外的治疗.
- 在5年的随访期间,没有观察到残留的水,这表明持续的疗效.
结论:
- 透视静脉绑定 (EVL) 是一种安全有效的治疗方式,用于治疗导致下肠道出血的直肠静脉.
- EVL是一个可行的选择,特别是在资源有限的环境中.
- 由于潜在的复发,建议进行长期内镜监测,并且需要对更大的队列进行进一步的研究.
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