用自扩展金属支架进行内镜血静,作为血红病的桥梁疗法
Junyeol Kim1,2, Jin Ho Choi1, Tae Seung Lee1
1Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Jongno-gu, Korea (the Republic of).
Endoscopy international open
|February 17, 2025
概括
使用自扩展金属支架 (SEMS) 的内镜血静止是一种可行的血红病桥梁疗法,可以减少总血红病时间. 这种方法在管理这种具有挑战性的条件方面显示出有希望的结果.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 血管外科 血管外科
背景情况:
- 血红细胞的管理带来了重大的临床挑战.
- 用自扩展金属支架 (SEMS) 进行内镜血静已经成为在内镜缩切除部位出血的潜在治疗方法.
- 这项研究评估了内镜血液静止作为血红病的桥梁疗法.
研究的目的:
- 评估内镜血液静止的有效性和可行性,作为血液病的桥梁治疗.
- 为了比较内镜血液静止与血管造血栓塞,用于血液病管理.
主要方法:
- 对26名患有血病的患者 (2008-2023) 的回顾性审查.
- 在内镜血液静止 (ENDO组,n=17) 和血管图片栓塞 (EMBO组,n=9) 之间的初始血液静止成功率的比较.
- 评估二次结果,包括延迟出血,28天死亡率,输血需求和血液静止的时间.
主要成果:
- 最初的血液静止成功率为ENDO的88.2%和EMBO的100% (P=0.529).
- 延迟出血发生在ENDO组的17.6%,而EMBO组的0.0% (P=0.529).
- 与EMBO组 (平均5002.8分钟) 相比,ENDO组的总血时间显著缩短 (平均281.5分钟) (P < 0.001). 支架插入深度与成功的血液静止相关 (P=0.015).
结论:
- 使用SEMS的内镜血静止是一种可行且有效的血红病桥梁疗法.
- 这种内镜方法可以显著减少血的持续时间,而不是血管学栓塞.
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