在早期胃瘤中,使用多曲折内镜进行内镜下粘膜剖析的学习曲线
Gil Ho Lee1, Eunyoung Lee2, Sun Gyo Lim1
1Department of Gastroenterology, Ajou University School of Medicine, Suwon, Republic of Korea.
Therapeutic advances in gastroenterology
|February 18, 2025
概括
这项研究表明,初学者可以通过多折叠内镜胃内镜子粘膜下解剖 (ESD) 实现安全有效的结果. 密集培训有助于运营商更快地达到熟练度基准.
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
- 医学教育 医学教育
背景情况:
- 内镜下粘膜切割 (ESD) 是早期胃瘤的关键治疗方法.
- 多曲折内镜ESD的学习曲线还没有很好地定义.
研究的目的:
- 评估经过胃ESD培训的操作人员的学习曲线,使用多曲内镜.
- 为这种技术建立熟练度基准.
主要方法:
- 两名操作人员对1491例胃ESD病例进行了回顾性分析.
- 利用变化点分析和累积和 (CUSUM) 分析来评估切除速度和确定熟练程度.
- 经风险调整的CUSUM (RA-CUSUM) 分析考虑了混因素.
主要成果:
- 实现了高块体 (97.7%),R0切除 (96.0%) 和可治愈率 (92.3%).
- 建立了一个新的目标切除速度基准,为17.9cm2/h.
- 通过达到基准来定义的熟练程度,平均需要166个案例,个别运营商在153个和69个案例中达到它.
结论:
- 多折叠内镜为初学者提供了胃ESD的安全和优秀结果.
- 该研究为在ESD程序中使用多曲内镜的学员提供了一份指南.
相关概念视频
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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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