通过内镜全厚切除切除的35个尾孔瘤的随访
Oliver Cronin1, Kayla Meys2, Sofia Yuen2
1Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, New South Wales, Australia; Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia; Division of Gastroenterology and Hepatology, Department of Medicine, New York University Langone Health, New York, New York, USA; Northern Health, Melbourne, Australia.
Gastrointestinal endoscopy
|June 29, 2025
概括
内镜全厚切除 (EFTR) 有效地去除小尾孔 (AO) 瘤. 虽然尾炎是一种常见的并发症,但它
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 内镜手术 进行内镜手术
背景情况:
- 内镜全厚切除 (EFTR) 是对尾孔 (AO) 瘤的一种公认的技术.
- 后EFTR尾炎,粘膜细胞和囊形成是需要进一步调查的潜在不良事件.
- 关于EFTR对AO病变的长期结果的文献有限.
研究的目的:
- 评估EFTR对尾孔 (AO) 瘤的疗效和安全性.
- 评估 EFTR 后发生的不良事件,包括延迟尾炎,粘膜细胞和囊形成.
- 为了确定EO病变的EFTR后的长期结果和监测要求.
主要方法:
- 对 EFTR.所指的连续 AO 病变的前性研究.
- 数据收集包括技术成功,组织病理学,不良事件和内镜/CT监测.
- 随访包括结肠镜和监视CT检测潜在的粘膜细胞.
主要成果:
- 在37个AO病变中,EFTR在35个病变中进行了尝试,在86%的病变中实现了R0切除.
- 不良事件包括尾炎 (11%) 和延迟出血 (6%).
- 在12%的监测CT患者中发现了,特别是那些先前接受过腹部手术的患者.
结论:
- EFTR对于小 (<15mm) 巴黎0-IIa AO病变的治愈切除是有效的.
- 尾炎是一种常见的不良事件,通常以保守的方式管理.
- 后EFTR囊的长期意义尚不清楚;在接受过手术的患者中建议谨慎使用.
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