内镜治疗切除胃内的息肉。

Endoscopic treatment of polyps in the resected stomach.

作者信息

Spinelli P, Cerrai F G, Casella G, Calarco G, Clemente C, Pizzetti P

机构信息

Department of Diagnostic and Surgical Endoscopy, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano.

出版信息

Minerva Chir. 1994 May;49(5):393-6.

PMID:7970035

Abstract

Between 1974 and 1992, at the Department of Diagnostic and Surgical Endoscopy of Istituto Nazionale Tumori, in Milan, 27 patients with resected stomach and suffering from epithelial polyps of the gastric stump (10 lesions) and/or anastomosis (25 lesions), were endoscopically treated using electroresection (13 cases), electrocoagulation (2 cases), combined methods (electroresection plus Nd:YAG photocoagulation) (1 case) and biopsy forceps (19 cases). Complications occurred in 4 cases and consisted of hemorrhage. Seven patients developed 15 recurrences. Endoscopic treatment of polyps in patients with resected stomach is a safe and effective treatment, considering the low rate of complication.

摘要

1974年至1992年间，在米兰国立肿瘤研究所诊断与外科内镜科，对27例胃切除术后患有胃残端上皮息肉（10处病变）和/或吻合口息肉（25处病变）的患者进行了内镜治疗，治疗方法包括电切除术（13例）、电凝术（2例）、联合方法（电切除术加钕钇铝石榴石激光光凝术）（1例）和活检钳切除术（19例）。4例出现并发症，均为出血。7例患者出现15次复发。考虑到并发症发生率较低，内镜治疗胃切除术后患者的息肉是一种安全有效的治疗方法。