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用全厚切除装置进行多阶段内镜全厚切除,用于大重复性息肉:一个病例报告
Taylor Bowler1, Natalie Wilson1, Rahul Karna2
1Department of Internal Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
使用全厚切除装置 (FTRD) 进行多阶段内镜全厚切除 (EFTR),安全有效地切除了大型的复发性聚合体. 这种技术适合复杂的病例,不能用传统方法治疗.
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
- 结肠直肠手术 结肠直肠手术
背景情况:
- 用全厚切除装置 (FTRD) 进行内镜全厚切除 (EFTR) 确立了高达30毫米的息肉.
- 对于使用FTRD在较大,复发性或纤维性息肉中进行多阶段EFTR的数据有限.
- 复发性多瘤带来了管理挑战,特别是在困难的位置.
研究的目的:
- 为了评估多阶段零碎EFTR的安全性和有效性,使用FTRD对一个大,复发的息肉进行评估.
- 在解剖学上具有挑战性的位置展示FTRD的实用性.
主要方法:
- 一个病例报告,一个85岁的老人患有60毫米的复发性息肉在门附近.
- 使用FTRD进行的多阶段零碎EFTR在3次结肠镜检查中进行.
- 片很大,纤维化,复发性,在一个具有挑战性的位置.
主要成果:
- 成功地彻底去除了60毫米的复发性息肉.
- 使用FTRD的多阶段EFTR程序安全完成.
- 在手术期间或之后没有报告任何并发症.
结论:
- 使用FTRD的多阶段EFTR是一种安全有效的选择,用于困难位置的大型,反复复发的息肉.
- 这种技术扩大了复杂结直肠多体的内镜治疗选择.
- 当传统的切除方法不可行时,FTRD提供了一个可行的替代方案.
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