恶性肠道封闭:关于当前可用的治疗方法的最新情况
Benedetto Neri1, Nicolò Citterio1, Sara Concetta Schiavone2
1Therapeutic GI Endoscopy Unit, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Cancers
|May 14, 2025
概括
恶性肠道阻塞 (MBO) 管理越来越多地倾向于对脆弱患者进行不那么侵入性的内镜和皮肤穿技术而不是手术. 这些干预措施可以缓解症状,并有可能恢复胃肠连续性.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 恶性肠道阻塞 (MBO) 是晚期癌症患者的一种严重并发症.
- 手术是主要的治疗方法,但由于患者的脆弱性,手术往往是不可行的.
- 不那么侵入性的息干预正在变得越来越重要.
研究的目的:
- 审查目前和新兴的MBO的最小侵入性治疗方法.
- 突出内镜和穿皮技术在管理MBO中的作用.
- 讨论MBO新的内镜干预的潜力.
主要方法:
- 审查当前的文献和关于MBO治疗的指导方针.
- 分析手术,医疗,内镜和皮肤穿刺方法.
- 讨论干预内镜最近的进展.
主要成果:
- 内镜和皮技术提供安全有效的缓解MBO的症状.
- 结肠支架用于恶性结肠阻塞,作为桥梁或最终治疗.
- 新兴的内镜超声波引导技术对小肠MBO显示出希望.
结论:
- 至少侵入性的内镜和皮肤间干预对于脆弱患者的MBO管理至关重要.
- 内镜支架是恶性结肠阻塞的关键治疗选择.
- 干预内镜的进步为治疗MBO提供了新的希望,使用更少的侵入性解决方案.
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