对于隔墙性瘤的内镜疗法
, Monica Saumoy1, Arvind J Trindade2
1Department of Gastroenterology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
隔墙性亡 (WON) 的内镜治疗提供了有效的排水和脱bridement. 针对直接内镜性瘤切除术 (DEN) 的新型设备显示,在治疗严重急性胰腺炎并发症方面,提高效率是有前途的.
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.
- 胰腺疾病 胰腺疾病
背景情况:
- 隔离性亡 (WON) 管理传统上使用一个逐步增强的方法.
- 最少侵入性排水和除菌是关键的技术.
- 内镜干预越来越多地用于WON.
研究的目的:
- 审查内镜WON管理的技术方面.
- 评估内镜排水的技术和临床成功率.
- 评估不良事件发生率和用于直接内镜内切除术 (DEN) 的专用设备.
主要方法:
- 在 MEDLINE 数据库中进行搜索 (截至 2022 年 4 月).
- 关键词:隔墙性瘤,内镜性瘤切除,干预性EUS,严重的急性胰腺炎,瘤性胰腺炎,光线施加金属支架.
- 稿件由ASGE技术委员会和管理委员会起草和编辑.
主要成果:
- 使用支架 (塑料或金属,包括光线施加金属支架) 进行的初级囊肠口术显示了可接受的排水结果.
- 清洗,导管,透光通道技术,双模式疗法和新的DEN设备有助于死残骸的清除.
- 新型DEN设备 (例如,EndoRotor,喷水器,超范围抓取器) 旨在减少与传统工具相比的程序时间和会话.
结论:
- 以EUS指导的内镜排水和除菌是一种成熟的WON治疗方法.
- 需要进一步评估辅助技术,以优化WON治疗.
- 预计DEN设备的改进将提高结果和内镜治疗的利用率.
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