用冷气球治疗内镜无法切除的十二指腺瘤
Negar Modirian1, Mike T Wei2, Shai Friedland3,4
1School of Medicine, St. George School, True Blue BB1210, Grenada.
World journal of gastrointestinal endoscopy
|January 29, 2026
概括
冰冷气球切除显示了对难以通过标准方法治疗的十二指腺瘤的希望. 虽然它对非环形病变有效,但对于重的环形腺瘤没有成功.
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:
- 陷多眼切除和内镜粘膜切除 (EMR) 是十二指腺瘤的标准治疗方法.
- 具有挑战性的病例包括周围腺瘤,复发性腺瘤或纤维腺瘤.
- 对于这些复杂的病变,需要新的治疗方法.
研究的目的:
- 评估冷气球切除在挑战十二指腺瘤的安全性和有效性.
- 为了评估腺瘤不适合传统内镜切除的患者的结果.
主要方法:
- 对于2022年至2024年期间因十二指腺瘤而接受冷气球切除治疗的患者进行了回顾性审查.
- 结冷气球焦点除使用氧化,具有特定的预膨胀和除序列.
- 在治疗后3至12个月进行了监视内镜检查.
主要成果:
- 治疗了10名患者,包括那些患有复发性,扩散性或周围腺瘤的患者.
- 冰冷气球除对两名患有庞大的周围腺瘤的患者没有显示出有效性.
- 八名患有非周围腺瘤的患者表现得好转;三名患者在一两次治疗后完全消失.
结论:
- 冰冷气球除是一种潜在的有效和安全的治疗非圆周十二指腺瘤,特别是带有纤维化的.
- 为了获得最佳的结果,可能需要进行多次治疗.
- 对于大,周围的十二指甲腺瘤,冷治疗似乎无效.
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