在炎症性肠道疾病中,通过内细胞镜检查实时光学诊断失形症
Carlos Soutullo-Castiñeiras1, Francisco Giner2, Marco Bustamante-Balén3
1Gastrointestinal Endoscopy Unit, Hospital Universitari i Politècnic La Fe, España.
长期患有克罗恩病的患者的监视结肠镜检查发现了横向结肠病变. 先进的成像和组织学证实它是一种管状腺瘤,通过水下粘膜切除成功切除.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 克罗恩氏病 (CD) 是一种慢性炎症性肠病.
- 患有CD的患者患结直肠癌的风险增加.
- 定期监测结肠镜对于早期检测CD患者的瘤变化至关重要.
研究的目的:
- 报告在监测结肠镜检查期间检测到的管状腺瘤病例,该病例发生在患有白内障克罗恩病的患者身上.
- 要突出先进的内镜成像技术在特征结肠病变在CD的实用性.
- 为了证明CD患者中瘤病变的成功管理.
主要方法:
- 一名60岁的男性有36年的克罗恩病史,接受了监视结肠镜检查.
- 使用白光和窄带成像 (NBI) 可视化横肠中的11毫米平面病变.
- 进行了具有重要染色的内分细胞镜检查,以进行详细的形态学评估.
- 使用水下粘膜切除实现了块切除,随后进行了组织学确认.
主要成果:
- 白光检查显示了一块红色斑块,边界模糊.
- NBI 显示了正规的血管模式和密码分布.
- 内细胞镜检查结果与管状腺瘤一致.
- 组织病理学证实了管状腺瘤与低度的发育不良和明显的切除边缘.
结论:
- 监视结肠镜成功检测出长期患有克罗恩病的患者的管状腺瘤.
- 先进的内镜技术,包括NBI和内镜,有助于准确诊断结肠病变.
- 水下粘膜切除是一种有效的方法,可以一块块地去除这种腺瘤,确保清晰的边缘.
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