暴露与非暴露的内镜全厚切除十二指甲状腺亚皮质病变:三级护理中心的经验 (含视频)
Zaheer Nabi1, Jahangeer Basha1, Pradev Inavolu1
1Asian Institute of Gastroenterology, Hyderabad, India.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
内镜全厚切除 (EFTR) 是一项可行且安全的内镜手术,用于大十二指腺亚皮质病变. 这种技术在大多数情况下可以完全去除瘤,提供了一个有前途的治疗选择.
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:
- 胃和结直肠病变的内镜全厚切除 (EFTR) 已经确立.
- 关于EFTR在十二指肠中的可行性,安全性和疗效的数据有限.
- 十二指甲下皮损伤对内镜切除提出了独特的挑战.
研究的目的:
- 评估暴露和非暴露EFTR的可行性和安全性.
- 为了评估EFTR的大型 (≥10毫米) 十二指腺亚皮质病变.
- 确定与十二指肠EFTR相关的技术成功率和不良事件.
主要方法:
- 对接受EFTR治疗的患者进行了回顾性分析,以检查十二指甲状腺亚皮质病变.
- 包括暴露和非暴露 (设备辅助) EFTR 技术.
- 主要结果:技术成功;次要结果:不良事件,R0切除,复发.
主要成果:
- 20名患有大十二指肠病变的患者接受了EFTR (平均尺寸为14.2毫米).
- 暴露EFTR的技术成功率为100%,未暴露EFTR的技术成功率为75%.
- 75%的患者实现了组织学完全切除 (R0);3名患者出现了中度/严重的不良事件.
结论:
- EFTR是一种可行的内镜治疗大十二指甲状腺亚皮质病变的方法.
- 该程序在十二指肠中显示出合理的安全概况.
- 在大多数十二指甲下皮层病变中,EFTR可促进完全切除.
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