在家族性腺瘤多重症中对囊腺瘤进行内镜性乳头切除术
C Wehling1,2, Y Eckstein1, A Stenzinger3
1Interdisciplinary Endoscopy Center (IEZ)/Department of Gastroenterology, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.
Familial cancer
|November 4, 2025
概括
透视乳头切除术是家族腺瘤多重症 (FAP) 患者囊腺瘤的成功治疗方法,其无复发率很高. 虽然可能会出现出血和胰腺炎等并发症,但它们通常是可以控制的,并且复发可以有效治疗.
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
- 在瘤学瘤学.
背景情况:
- 状腺瘤在家族性腺瘤多重症 (FAP) 中很常见.
- 囊腺瘤的内镜乳头切除术具有挑战性,有出血,穿孔和胰腺炎的风险.
- 患有FAP的患者需要有效的治疗策略来治疗囊腺瘤.
研究的目的:
- 评估FAP患者内镜乳头切除术的成功率,并发症率和复发率.
- 评估内皮切除术在FAP中的囊腺瘤的安全性和有效性.
- 为了确定内皮切除术在管理FAP相关的膜病变的结果.
主要方法:
- 对40名经过内镜乳头切除术的FAP患者进行了回顾性分析.
- 收集有关并发症,组织病理学,切除技术和成功率的数据.
- 评估无复发切除率和随访持续时间.
主要成果:
- 在FAP患者中,内镜乳头切除术实现了94%的累积无复发切除率.
- 立即和延迟出血分别发生在33%和13%的患者中.
- 急性胰腺炎影响了25%的患者,与女性性别有显著的关联;在2名患者中发生了穿孔.
结论:
- 透视乳头切除术在FAP患者中取得了很高的临床成功,包括那些患有横向扩散腺瘤的人.
- 在内镜乳头切除术后腺瘤复发可以通过重复干预来有效地管理.
- 尽管存在潜在的并发症,但该程序对于患有囊腺瘤的FAP患者来说是一个可行的选择.
更多相关视频
03:37Application of Robot-assisted Pancreaticobiliary Junction Resection in Benign Duodenal Tumors
Published on: December 20, 2024
914
03:34Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
782
相关概念视频
Endoscopic Procedures V: ERCP
2.7K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.7K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
534
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...
534
Inflammatory Bowel Disease V: Surgical Management
433
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
433
