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内镜下切除术治疗成人重复胃畸形的疗效 |
何梦江1,2,3, 柳滟波2,1,3, 刘歆阳2,1,3, 马丽黎2,1,3, 张轶群2,1,3, 陈巍峰1,2,3, 周平红2,1,3
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1.复旦大学附属中山医院厦门医院内镜中心;2.复旦大学附属中山医院内镜中心;3.上海内镜微创协同创新中心
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摘要: |
目的:胃重复畸形又称双胃,是临床上极为少见的一种消化道先天发育畸形。本研究对我院内镜下切除的胃重复畸形病例的特征及其预后进行探讨分析,总结安全性、可行性、围手术期及远期疗效。
方法:纳入2017年1月至2021年1月期间在复旦大学附属中山医院进行内镜切除治疗且病理证实为重复胃畸形的患者。回顾性收集其临床病理资料,包括一般资料、内镜下病灶表现、术后病理、住院天数、术后并发症、随访情况等。
结果:共纳入患者9例。其中女性3例,男性6例;2例位于胃上三分之一,2例位于胃中三分之一,5例位于胃下三分之一。8例患者内镜下表现为黏膜下肿瘤,仅1例表现为息肉样隆起。中位住院天数为2 天(范围1~5 天)。无围手术期不良事件。中位随访时间46个月(范围 18~65个月)。术后随访病灶无残留、无复发。
结论:内镜下切除对于符合指征的胃重复畸形的治疗安全可行,临床可尝试推广。 |
关键词: 胃重复畸形 内镜黏膜下剥离术 内镜下黏膜切除术 |
DOI:10.12025/j.issn.1008-6358.2023.20230727 |
分类号:R 573 |
基金项目:福建省自然科学基金(2022J05327);国家自然科学基金(82003074;82270569);上海市医苑新星青年医学人才培养资助计划(No.SHWJRS(2021-99));厦门市自然科学基金(3502Z20227278) |
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Effect of Endoscopic Resection for Adult Patients with Gastric Duplication |
he meng-jiang1,2,3, liu yan-bo2,1,3, liu xin-yang2,1,3, ma li-li2,1,3, zhang yi-qun2,1,3, chen wei-feng1,2,3, zhou ping-hong2,1,3
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1.Endoscopy Center, Zhongshan Hospital(Xiamen), Fudan University, Xiamen, Fujian Province;2.Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai;3.Shanghai Collaborative Innovation Center of Endoscopy, Shanghai
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Abstract: |
Objective: Gastric duplication is a rare gastrointestinal tract congenital malformation. We reviewed the endoscopic and clinicopathological features of gastric duplication, to evaluate the safety and efficacy of endoscopic resection for gastric duplication.
Methods: From January 2017 to January 2021, patients treated with endoscopic resection and with pathologically confirmed diagnosis of gastric duplication were included. The medical records were retrospectively reviewed to obtain information regarding patient demographics, clinicopathological features, pathological result, hospital day, complications and follow-up results.
Results: A total of 9 patients were included in this study, among which 6 were males and 3 were females. Lesions were found at the upper third (n?=?2), middle third (n?=?2) or lower third(n=5) of the stomach. Lesions presented as submucosal tumor-like (SMT-like) appearance(n=8) or elevated polyp type(n=1), macroscopically. The median hospital day was 2 days (range 1-5days). In all, no patient endured peri-operative complications. The median follow-up time was 46 months (ranged from 18-65 months), no local residual or recurrence was detected during follow-up.
Conclusion: Gastric duplication present with various endoscopic features. Endoscopic resection appears to be a safe and effective choice for treatment of gastric duplication. |
Key words: Gastric duplication endoscopic submucosal dissection endoscopic mucosal resection |