凝浸泡内镜在残留的胃中进行内镜切除的有用性
Hiroki Hayashi1, Yuji Ino1, Chihiro Iwashita2
1Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.
概括
凝浸泡方法改善了胃内镜切除的可视化. 这种技术提高了内镜粘膜切除和内镜亚粘膜切割等手术的安全性和精度.
科学领域:
- 胃肠病学
- 透视外科手术
- 医疗设备技术
背景情况:
- 内镜粘膜切除 (EMR) 和内镜下粘膜切除 (ESD) 是早期胃癌的标准治疗方法.
- 在这些过程中,在残留食物或液体的胃中获得清晰的视野是一个重大挑战.
- 可见度有限可能会危及内镜切除的安全性和有效性.
研究的目的:
- 评估凝浸泡方法在改善残留胃的内镜切除中的有效性.
- 在需要EMR和ESD的情况下展示凝浸泡技术的应用.
主要方法:
- 凝浸泡方法包括将透明的粘性凝注入胃膜,以取代残留物和血液.
- 在内镜过程中使用专用门,通过辅助道持续灌注凝.
- 这项技术在两个不同的胃内瘤病例中被应用.
主要成果:
- 凝浸泡方法成功清除了残留物,在两种情况下都提供了清晰的视野.
- 在5mm腺瘤中使用凝浸泡EMR实现了整体切除.
- 凝浸泡ESD促进了12毫米内腺癌的精确切割和有效凝血,两位患者的切除边缘均为负.
- 在这两种情况下都没有报告任何不良反应.
结论:
- 凝浸泡方法是一种有效的策略,用于克服内切除过程中胃残留所带来的可视化挑战.
- 这种技术提高了残留胃的内镜手术的安全性,精度和效率.
- 凝浸泡方法有望改善胃瘤EMR和ESD患者的治疗结果.
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