使用内套圈辅助切除难治性结肠息肉的内镜黏膜切除术。病例系列。
The use of endocuff for the facilitation of endoscopic mucosal resection in defiant colonic polyps. A case series.
作者信息
Paspatis G A, Nikolaou P, Velegraki M, Mpitouli A, Fragaki M
机构信息
Department of Gastroenterology, Venizeleio General Hospital, Heraklion-Crete, Greece.
出版信息
Hippokratia. 2021 Jul-Sep;25(3):134-137.
BACKGROUND
Endocuff has been suggested as a safe and useful device facilitating complex endoscopic mucosal resection (EMR) in the sigmoid colon; however, the existing data are sparse. In this case series, we report our experience with endocuff in facilitating EMR in defiant polyps throughout the colon.
CASE SERIES
In colonoscopies where sufficient stability and, thus, reliable visualization of the lesion was not possible (defiant polyp), the endoscope was removed, and subsequently, an ENDOCUFF VISION was mounted on its tip. Thereafter, the colonic area of interest underwent endoscopic re-examination. The study prospectively included fifteen patients with 16 sessile/flat polyps. Fifteen of the 16 EMRs were considered successful.
CONCLUSIONS
This case series indicates the use of endocuff as an auxiliary device for facilitating EMR in defiant colonic polyps. HIPPOKRATIA 2021, 25 (3):134-137.
背景
有人提出内套圈是一种安全且有用的设备，有助于在乙状结肠进行复杂的内镜黏膜切除术（EMR）；然而，现有数据稀少。在本病例系列中，我们报告了使用内套圈辅助在整个结肠切除顽固息肉的经验。
病例系列
在结肠镜检查中，如果无法获得足够的稳定性，因而无法可靠地观察病变（顽固息肉），则将内镜取出，随后在其顶端安装ENDOCUFF VISION。此后，对感兴趣的结肠区域进行内镜复查。该研究前瞻性纳入了15例患有16个无蒂/扁平息肉的患者。16例EMR中有15例被认为成功。
结论
本病例系列表明，内套圈可作为辅助设备，用于在切除结肠顽固息肉时协助进行EMR。《希波克拉底》2021年，第25卷（第3期）：134 - 137页。
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