结肠炎相关瘤的内镜切除:一个范围审查
Partha Pal1, Priyaranjan Kata2, Zaheer Nabi3
1Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad 500082, Telangana, India. partha0123456789@gmail.com.
World journal of gastrointestinal endoscopy
|November 19, 2025
概括
像EMR,ESD和EFTR这样的内镜切除技术为性结肠炎 (UC) 患者提供了节省器官的选择. 这些微创手术在仔细的技术选择和长期监测下提供治疗潜力.
科学领域:
- 胃肠病学和内镜检查
- 结肠直肠手术 结肠直肠手术
- 在瘤学瘤学.
背景情况:
- 性结肠炎 (UC) 与结肠直肠形和癌症的风险增加有关.
- 从历史上看,小肠切除术是标准的治疗方法,但现在可以使用节能器官的内镜技术.
- 内镜切除的进步使得在选定的UC患者中可以治疗失生症.
研究的目的:
- 审查有关UC相关瘤内镜切除技术的可行性,安全性和结果的现有证据.
- 为了比较多膜切除,内镜粘膜切除 (EMR),内镜亚粘膜切除 (ESD) 和内镜全厚切除 (EFTR) 在UC的疗效.
- 确定影响选择内镜技术的因素,以管理UC中的生殖不良.
主要方法:
- 通过PubMed和EMBASE数据库对文献进行了范围审查.
- 搜索术语包括各种内镜切除技术和性结肠炎或囊.
- 包括报告结局,可行性或UC相关性发育不良症的内镜治疗新技术的研究.
主要成果:
- 多角切除术适用于划分清楚的,抬起的病变. 在适当的提升下,EMR对小的多重型病变有效.
- 对于平坦,大或纤维化的病变,注明ESD,实现高阻塞率和R0切除率,并发症率为2-10%.
- 对于复杂的或不起重的病变,特别是囊体解剖学,EFTR是有效的,但它具有更高的程序风险. 在UC中下纤维化是一个挑战,但辅助技术可以提高成功率.
结论:
- 内镜切除提供了一系列的最小侵入性治疗方案,用于UC相关的发育不良.
- EMR适用于更简单的病变,而ESD和EFTR对更复杂的病理有价值.
- 技术选择应以病变特征和操作人员专业知识为指导,长期监测对于管理甲时性瘤至关重要.
关键词:
发育不良症 发育不良症是什么内镜全厚切除切除术内镜粘膜切除 进行内镜粘膜切除.内镜下粘膜切割 进行内镜下粘膜切割.聚光学 (Polypectomy) 是一种多重的学科.性结肠炎是一种性结肠炎相关的新生病.更多相关视频
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