内镜子支架剖析用于移除长期嵌入的食道自扩张金属支架
Ke-Yi Guo1, Li-Yun Ma1, Zu-Qiang Liu1
1Endoscopy Center and Endoscopy Research Institute, Shanghai Collaborative Innovation Center of Endoscopy, Zhongshan Hospital, Fudan University, Shanghai, China.
内镜子支架剖析有效地去除长期嵌入的食道自扩张金属支架 (SEMS). 这种新技术为难以移除支架提供了一个安全和可行的选择,改善了患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的内镜手术
背景情况:
- 自扩展金属支架 (SEMS) 用于食道疾病.
- 长期放置SEMS可能会导致组织生长,使移除复杂化.
研究的目的:
- 引入和评估内镜子支架剖析的安全性和有效性,以去除长期嵌入的食道SEMS.
主要方法:
- 在2018年7月至2024年9月期间治疗的16名嵌入食道SEMS患者的回顾性分析.
- 纳入标准:患有长期嵌入式SEMS需要移除的患者.
- 收集的数据:人口统计,程序细节,不良事件和结果.
主要成果:
- 在16名患者中成功移除了所有17个嵌入式SEMS (100%).
- 中位数支架保留时间为88.5天;3名患者之前曾尝试过支架内支架,但未能成功.
- 低不良事件发生率 (6.25%发烧,6.25%皮下肺气);中位术后住院时间为3天.
结论:
- 内镜子支架剖析是一种安全有效的方法,用于去除长期嵌入的食道SEMS.
- 建议对更大的患者队伍进行进一步的研究,以证实研究结果.
更多相关视频
05:57ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
Published on: February 10, 2017
07:44Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
