通过先发性EUS导向上腺素注射,尽量减少胃神经内分泌瘤内学分离过程中的出血风险
Radhika Chavan1, Vishal Seth1, Zaheer Nabi2
1Department of Gastroenterology and Advanced Endoscopy, Bharati Vidyapeeth (deemed university), Pune, Maharashtra, India.
概括
胃神经内分泌瘤 (NETs) 的内镜下粘膜剖析具有出血风险. 预防性内镜超声波 (EUS) 指导的上腺素注射有效地减少了手术期间的出血.
科学领域:
- 胃肠病学
- 内镜检查
- 癌症学
背景情况:
- 胃神经内分泌瘤 (NETs) 是一种罕见的,高度血管性亚皮质病变.
- 胃内膜下腔解剖 (ESD) 具有显著的出血风险.
- 胃 NET ESD 的预防性出血管理策略尚未得到充分研究.
研究的目的:
- 评估内镜超声波 (EUS) 引导的先发性上腺素注射在胃 NET 的 ESD 期间减少出血的疗效和安全性.
主要方法:
- 在大胃 NET 病变的底部注射了以EUS为导向的先发性上腺素,向了食器.
- 通过细针吸血确认没有血液返回后进行注射.
主要成果:
- 一位38岁的女性患有巨大的胃皮下病变,
- 欧盟检查发现一个具有突出食血管的低声下瘤.
- 在EUS指导的上腺素注射后,病变呈白色,随后的ESD没有出血.
结论:
- 以EUS为指导的先发性上腺素注射是一种新,有效和安全的方法,可以在血管胃NET期间最大限度地减少出血.
- 这种技术可以提高程序的安全性,并需要在未来的研究中进行进一步的研究.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
139
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
139
Endoscopic Procedures I: Esophagogastroduodenoscopy
348
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:
348
Epistaxis
257
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
257


