性结肠炎相关瘤的监测和内镜切除:一个日本的观点
Yu Hashimoto1, Syota Tomaru1, Yuki Itoi1
1Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Gunma, Japan.
监测结肠镜和内镜下膜剖析对于管理性结肠炎相关瘤 (UCAN) 至关重要. 将UCAN与零星瘤区分开来,并分级生殖不良症是这些内镜技术所应对的关键挑战.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内镜检查是指内镜检查.
背景情况:
- 长期患有性结肠炎 (UC) 的患者面临患UC相关瘤 (UCAN) 的风险增加.
- 由于不同的治疗策略,UCAN和零星瘤之间的准确区分至关重要.
- 本综述侧重于监测结肠镜 (SC) 和内镜下层剖析 (ESD) 在UC患者的瘤病变.
研究的目的:
- 提供关于UC患者瘤病变管理当前状况和未来挑战的概述.
- 突出SC和ESD在UCAN诊断和治疗中的作用.
- 讨论UCAN与零星瘤的差异化以及失生症的分级.
主要方法:
- 建议在UC诊断后8-10年进行高清监视结肠镜 (SC) 和染色内镜检查.
- 内镜下层剖析 (ESD) 促进了复杂病变的去除和精确的病理评估.
- 使用多种内镜方式的逐步方法通常是UCAN诊断所必需的.
主要成果:
- 高度发育不良或UCAN中更高的程度,需要进行直肠切除术.
- 在SCENIC的共识中,建议对"内可切除"的低度发育不良 (LGD) 进行完整的内切除,然后进行监测.
- ESD有助于治疗LGD,并区分UCAN和零星瘤.
结论:
- 在治疗LGD方面,ESD发挥着至关重要的作用,并使UCAN诊断和分级的组织病理学评估成为可能.
- 在完成内镜切除后,密切的内镜监测至关重要.
- 需要进行前性研究来评估UC患者ESD的临床结果.
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