使用磁体的内镜胃肠吻合术。
Endoscopic gastroenteric anastomosis using magnets.
作者信息
Chopita N, Vaillaverde A, Cope C, Bernedo A, Martinez H, Landoni N, Jmelnitzky A, Burgos H
机构信息
Department of Gastroenterology, San Martin Hospital, La Plata, Argentina.
出版信息
Endoscopy. 2005 Apr;37(4):313-7. doi: 10.1055/s-2005-861358.
BACKGROUND
Current management of malignant obstruction of the upper digestive tract includes surgical gastrointestinal bypass or endoscopic insertion of self-expandable metal stents. The safety, efficacy, and long-term patency rates of anastomoses created using the novel technique of endoscopic gastroenteric anastomosis using magnets (EGAM) are evaluated in this study.
PATIENTS AND METHODS
15 patients (13 men, 2 women; mean age 64.5 years) with malignant obstruction, who underwent EGAM and had monthly follow-up between December 2001 and May 2003, were included in this study.
RESULTS
The procedure was successful in 13 patients (88.66 %). The mean survival was 5.23 months. There were four minor complications (30.76 %) during the follow-up period.
CONCLUSION
Our results demonstrate the feasibility, safety. and efficacy of this technique for creating a gastroenteric anastomosis. The success rate was 86.6 %, there were no immediate complications, and there was no mortality related to the procedure.
背景
目前对上消化道恶性梗阻的治疗方法包括外科胃肠旁路手术或内镜下置入自膨式金属支架。本研究评估了使用新型磁体辅助内镜胃肠吻合术（EGAM）建立吻合口的安全性、有效性及长期通畅率。
患者与方法
本研究纳入了15例恶性梗阻患者（13例男性，2例女性；平均年龄64.5岁），这些患者接受了EGAM治疗，并在2001年12月至2003年5月期间接受每月一次的随访。
结果
13例患者（88.66%）手术成功。平均生存期为5.23个月。随访期间出现4例轻微并发症（30.76%）。
结论
我们的结果证明了该技术用于建立胃肠吻合口的可行性、安全性和有效性。成功率为86.6%，无即刻并发症，且无与手术相关的死亡病例。
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