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内镜下切除术治疗成人胃重复畸形的疗效分析

Clinical efficacy of endoscopic resection in treatment with adult patients with gastric duplication

  • 摘要:
    目的 探讨内镜下切除的胃重复畸形的病例特征及其预后。
    方法 选择2017年1月至2021年1月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胃重复畸形的患者9例,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9例胃重复畸形患者,女性3例,男性6例;2例患者病灶位于胃上1/3,2例位于胃中1/3,5例位于胃下1/3。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。住院天数为2(1.5, 4)d,无围手术期不良事件,随访时间46(26, 51)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。

     

    Abstract:
    Objective To explore the characteristics and prognosis of cases of gastric duplication after endoscopic resection.
    Methods From January 2017 to January 2021, 9 patients treated with endoscopic resection and with pathologically confirmed diagnosis of gastric duplication in Zhongshan Hospital, Fudan University were included. The medical records were retrospectively reviewed to obtain information regarding patient demographics, clinicopathological features, pathological results, 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 (1.5, 4) days. In all, no patient endured peri-operative complications. The median follow-up time was 46 (26, 51) months, no local residual or recurrence was detected during follow-up.
    Conclusions Endoscopic resection appears to be a safe and effective choice for treatment of gastric duplication.

     

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