先进的诊断和切除内镜技术在管理大肠炎相关的瘤:标准的护理或仍然乌托邦?
Rossella Maresca1, Giulio Calabrese2, Stefano Andrea Marchitto3
1Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Center for Endoscopic Research Therapeutics and Training (CERTT), Università Cattolica del Sacro Cuore, Rome, Italy.
Best practice & research. Clinical gastroenterology
|December 5, 2025
概括
炎症性肠病 (IBD) 患者面临更高的结肠炎相关瘤 (CAN) 风险. 本综述整合了监测和内镜切除技术,如内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD),以改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 长期患有炎症性肠病 (IBD) 的患者患有结肠炎相关瘤 (CAN) 的风险增加.
- 有效的监测和管理对于在IBD患者中早期发现和治疗CAN至关重要.
研究的目的:
- 提供关于炎症性肠病 (IBD) 中大肠炎相关瘤 (CAN) 的监测策略和内镜治疗的综合概述.
- 通过展示现实生活中的例子和逐步方法来管理IBD相关的瘤来指导临床实践.
主要方法:
- 这篇叙述性综述综合了目前关于IBD发育不良症检测监测的文献.
- 它讨论了瘤病变的特征和适当的内镜切除技术的选择.
- 新兴的内镜技术也被考虑用于复杂的病例.
主要成果:
- 选择内镜切除技术 (例如,传统的EMR,ESD,水下技术) 取决于病变的特征,如大小,形态和纤维化.
- EMR适用于小的,抬起的病变,而ESD则更适合用于更大的或纤维化的病变,用于块切除.
- 个性化切除策略是改善结果的关键.
结论:
- 将有效的监测与个性化内镜切除技术相结合,对于管理IBD相关瘤至关重要.
- 这种方法旨在改善患者的治疗结果,并减少对外科手术的需要.
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