用内镜超声导向胃肠口术的最佳实践:来自国际修改的Delphi过程的技术建议
Giuseppe Vanella1, Roberto Leone1, Francesco Frigo2
1IRCCS San Raffaele Scientific Institute and Vita-Salute University, Milan, Italy.
Gastrointestinal endoscopy
|October 20, 2025
概括
专家们就内镜超声波导向胃肠口术 (EUS-GE) 的关键技术原则达成共识,旨在标准化这种用于胃出道阻塞的程序. 然而,一些技术方面需要进一步的研究,以改善患者的治疗结果.
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.
- 手术创新 在外科创新.
背景情况:
- 内镜超声导向胃肠静脉切除术 (EUS-GE) 是一种新兴的治疗胃出道阻塞的技术.
- 存在显著的技术变化,导致不一致的临床结果.
研究的目的:
- 在关键的技术方面达成专家共识,并在EUS-GE程序中确定未解决的问题.
- 为在临床实践中标准化EUS-GE提供指导.
主要方法:
- 一个经过修改的德尔菲过程,涉及25名国际EUS-GE专家,分为三轮.
- 匿名投票对35个预定义的陈述使用5分利克特级,预定义的协议门.
主要成果:
- 批准了31个陈述,在光学使用,自由手光应用金属支架 (LAMS) 释放和管理并发症方面达成强烈一致 (>95%).
- 在镇静,病人的定位和液作为扩张溶液方面达成了高度一致 (>90%).
- 在染料使用,导管辅助EUS-GE和LAMS释放空间方面达成了中度一致 (>80%);对比度使用和特定技术选择缺乏共识.
结论:
- 大多数EUS-GE专家都同意核心技术原则,尽管在特定工具上有不同的偏好,但为标准化提供了指导.
- 有限协议的领域突出了未来对EUS-GE技术和成果研究的优先事项.
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