以内声学为指导的胆肠静脉切除术用于腹膜癌症的息治疗
Alexander Weich1, Laura Retzbach2, Viktor Hartung3
1Department of Gastroenterology, Medizinische Klinik und Poliklinik II, University Hospital Würzburg, Würzburg, Germany; ENETS Center of Excellence, Department of Gastroenterology, Medizinische Klinik und Poliklinik II, University Hospital Würzburg, Würzburg, Germany.
Gastrointestinal endoscopy
|September 18, 2025
概括
以内镜超声导向的胆肠静脉切除术 (CE) 为患有腹癌的患者提供了小肠 (SBI) 的安全有效的息选择,显著改善了症状和生存率.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 在瘤学瘤学.
背景情况:
- 腹癌中小肠 (SBI) 呈现出一个显著的预后挑战.
- 对于SBI的传统息治疗通常会产生低于最佳的结果.
- 以内镜超声波为导向的手术提供了新的治疗途径.
研究的目的:
- 评估内声学胆肠静脉切除术 (CE) 在治疗SBI中的疗效.
- 评估CE对患者症状,生活质量 (QoL) 和瘤管理的影响.
- 为了比较CE结果与历史的皮肤内镜胃口术 (PEG) 治疗.
主要方法:
- 17名患有SBI的患者由于腹癌发生,接受了CE.
- 收集的数据包括技术成功,症状缓解,QOL (EORTC QLQ-C30) 和对瘤治疗和营养的耐受性.
- 结果与与PEG.治疗的倾向性得分匹配的队列进行了比较.
主要成果:
- CE取得了很高的技术和临床成功 (94.0%).
- 症状 (吐,疼痛,便频率) 和QOL显著改善.
- 在82.3%的患者中,CE促进了肠道营养,并在53.0%的患者中使瘤治疗重新开始.
结论:
- 在EUS的指导下,CE是一种可行的,安全的息干预,用于SBI在腹癌的治疗.
- 该程序提供了立即的症状缓解,并提高了生存率.
- 与PEG相比,CE在症状补偿和整体存活率方面都显示出显著的改善.
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