一种用于胃内镜粘膜下切割的新型静血装置:一项前性随机对照试验,比较韩国Coajet和Hemograsper
Sang Un Kim1, Seong Woo Jeon1,2
1Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.
Clinical endoscopy
|August 1, 2025
概括
新的Coajet装置在胃内镜下粘膜解剖 (ESD) 期间控制出血和预防延迟出血方面,其效果与静血器相提并论.
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
- 医疗器械 医疗器械
背景情况:
- 胃内镜下粘膜切割 (ESD) 经常导致出血.
- Coajet是一款新的单极接触静血装置,提供了一个潜在的解决方案.
- 这项研究比较了Coajet对常规静血的疗效.
研究的目的:
- 评估Coajet装置在胃ESD中的血液静止的疗效和安全性.
- 为了比较Coajet的性能与传统的静血 (Hemograsper) 的性能.
主要方法:
- 这是一项前性,随机的,单中心研究,对56名接受胃ESD的患者进行了随机研究.
- 患者被分配到Hemograsper组 (常规血液静止) 或Coajet组.
- Coajet用于病变标记,下注射和血液静止.
主要成果:
- 在Coajet和Hemograsper组之间,在操作时间或静脉静脉时间方面没有发现显著差异.
- 完全封锁切除率,入院时间和即时出血严重程度都相似.
- 在30天内延迟出血发生在每个组的1名患者中 (n=1对n=1).
结论:
- Coajet是一种安全有效的止血装置,用于胃ESD.
- 它在控制出血方面表现出与常规静血针相比的效果.
- 科阿杰特有效地防止了胃后ESD延迟出血.
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
356
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
356
Endoscopic Procedures II: Colonoscopy
192
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
192
Endoscopic Studies II: Thoracocentesis
515
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
515
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
272
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
272
Endoscopic Procedures III: Video Capsule Endoscopy
332
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
332
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
177
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
177


