对良性食道狭窄的逆行气球拉通技术:一个单中心试点经验
Shae Patel1, Andrew Wright2, Paul Leonor3
1Department of Medicine, Loma Linda University Medical Center, Loma Linda, California, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
逆行气球扩张是一种安全有效的治疗良性食道狭窄的方法,其技术成功与前级方法相比较. 这种技术也可以减少患有食道狭窄症的患者重复扩张的需要.
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.
- 食道疾病 食道疾病
背景情况:
- 良性食道狭窄 (BESs) 通常通过前级萨瓦里或静态气球扩张来管理.
- 逆行气球扩张是一种修改后的技术,对BES管理具有潜在的优势.
- 对于逆行气球扩张的有效性和安全性数据有限.
研究的目的:
- 评估逆行气球扩张对良性食道狭窄的疗效和安全性.
- 为了在单中心实验中比较逆行气球扩张与前级萨瓦里扩张.
主要方法:
- 一项回顾性研究包括53名BES患者,比较了23名进行逆行气球拉透扩张和30名进行前级萨瓦里扩张的患者.
- 主要终点是技术上的成功 (光线直径≥16mm).
- 二级终点包括1年内重复扩张率和不良事件.
主要成果:
- 这两种技术的技术成功率都很高:逆行气球拉透率为95.7%,前级萨瓦里扩张率为100% (P = .434).
- 随着逆行气球拉透 (4/22对12/30,P = .076) 观察到向较低的重复扩张率的趋势.
- 在逆行组中仅报告了一次轻微的不良事件.
结论:
- 逆行气球拉透扩张是有效和安全的管理简单和复杂的良性食道狭窄.
- 这种技术提供了一个可行的替代传统的预降级方法.
- 进一步的研究可能会证实其降低再处理率的潜力.
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