透明盖范围的坦波纳德:一种廉价,高效和低估的动作,用于可视化出血和静血
Brandon Rodgers1, Swapnil Patel2, Matthew T Moyer1
1Division of Gastroenterology and Hepatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.
概括
一个简单的内镜远部附着装置在内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 期间为低级出血提供了有效的,廉价的血液静止. 这种技术提供了立即范围的吸管,有助于控制胃肠道手术期间的出血.
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
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 低度出血是内镜粘膜切除 (EMR) 和内镜亚粘膜解剖 (ESD) 的常见并发症.
- 存在各种血液静止技术,每个都有局限性.
- 远端连接提供了一种被低估的,有效的血液控制方法.
研究的目的:
- 为了突出显示在内镜切除过程中远端附着物对静血的有用性.
- 提出一种简单,成本效益高的方法来管理手术内出血.
主要方法:
- 在内镜上使用远端连接器,以提供立即的视野吸管.
- 使用远端部位注水,可视化出血源.
- 将远端附着尖端直接应用于出血部位以控制出血.
主要成果:
- 远端附着部件在内镜切除过程中增强了视野稳定性.
- 它有助于快速可视化和控制低至中度出血.
- 在四个案例中,在结肠EMR期间,成功使用远端盖部附着装置.
结论:
- 远端附着盖是一种有效的,廉价的策略,可以实现静血.
- 使用远端连接器进行的探针吸管是一种被低估的在手术内出血的方法.
- 这种技术提供了立即控制或允许时间为最终的静血装置检索.
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