与水下内镜黏膜切除术（附视频）相比，凝胶浸泡式内镜黏膜切除术用于治疗浅表非壶腹十二指肠上皮肿瘤可能会缩短手术时间。
Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video).
作者信息
Yamashina Takeshi, Shimatani Masaaki, Takahashi Yu, Takeo Masahiro, Saito Natsuko, Matsumoto Hironao, Kasai Takeshi, Kano Masataka, Sumimoto Kimi, Mitsuyama Toshiyuki, Marusawa Hiroyuki, Nishio Akiyoshi, Yuba Takafumi, Seki Toshihito, Naganuma Makoto
机构信息
Division of Gastroenterology and Hepatology, Kansai Medical University Medical Center, Moriguchi, Osaka, Japan.
Department of Gastroenterology and Hepatology, Osaka Red Cross Hospital, Osaka, Japan.
出版信息
Gastroenterol Res Pract. 2022 Jun 15;2022:2040792. doi: 10.1155/2022/2040792. eCollection 2022.
MATERIALS AND METHODS
This was a retrospective cohort study conducted in two municipal hospitals. We identified 24 patients with SNADETs of 3-18 mm in diameter who underwent UEMR or GIEMR. One lesion was excluded from the analysis because it was found to be in the stomach after surgery. The primary outcome was procedure time.
RESULTS
GIEMR significantly reduced the procedure time compared with UEMR (5 min vs. 10 min, = 0.016). There was no significant difference between the UEMR and GIEMR groups for resection rate (93% vs. 100%, = 1.0) and R0 resection rate (57% vs. 80%, = 0.39). No serious complications were observed in either group.
CONCLUSIONS
GIEMR of SNADET has the potential to reduce procedure time compared with UEMR and may be particularly effective in areas where immersion in water is difficult.
材料与方法
这是一项在两家市级医院进行的回顾性队列研究。我们纳入了24例直径为3 - 18毫米的SNADET患者，这些患者接受了内镜下黏膜切除术（UEMR）或内镜下黏膜下隧道内镜切除术（GIEMR）。有1个病变在术后被发现位于胃内，因此被排除在分析之外。主要结局指标是手术时间。
结果
与UEMR相比，GIEMR显著缩短了手术时间（5分钟对10分钟，P = 0.016）。UEMR组和GIEMR组在整块切除率（93%对100%，P = 1.0）和R0切除率（57%对80%，P = 0.39）方面无显著差异。两组均未观察到严重并发症。
结论
与UEMR相比，SNADET的GIEMR有可能缩短手术时间，并且在难以进行水浸的区域可能特别有效。
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