食道狭窄的内窥镜治疗

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Benjamin Charles Norton , Apostolis Papaefthymiou , Nasar Aslam , Andrea Telese , Charles Murray , Alberto Murino , Gavin Johnson , Rehan Haidry
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引用次数: 0

摘要

食道狭窄是指食道管腔狭窄,可能是良性的,也可能是恶性的。其主要特征是吞咽困难,这可能是食道内在疾病或外在压迫造成的。根据狭窄的长度、位置、直径和潜在病因,食管狭窄可进一步分为单纯性和复杂性。目前治疗食管狭窄的内窥镜方法很多,包括扩张术、注射疗法、支架植入术、狭窄切除术和消融术。自膨胀金属支架为缓解恶性吞咽困难带来了革命性的变化,但使用球囊或纤支镜进行食管扩张仍是治疗大多数良性狭窄的一线疗法。随着内窥镜和外科手术对食道干预的增加,出现了更多难以治疗的良性难治性食道狭窄,通常需要先进的内窥镜技术。在这篇综述中,我们对良性和恶性食管狭窄的循证管理进行了实用性概述,包括管理良性难治性狭窄的实用算法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The endoscopic management of oesophageal strictures

An oesophageal stricture refers to a narrowing of the oesophageal lumen, which may be benign or malignant. The cardinal feature is dysphagia, and this may result from intrinsic oesophageal disease or extrinsic compression. Oesophageal strictures can be further classified as simple or complex depending on stricture length, location, diameter, and underlying aetiology. Many endoscopic options are now available for treating oesophageal strictures including dilatation, injectional therapy, stenting, stricturotomy, and ablation. Self-expanding metal stents have revolutionised the palliation of malignant dysphagia, but oesophageal dilatation with balloon or bougienage remains first-line therapy for most benign strictures. The increase in endoscopic and surgical interventions on the oesophagus has seen more benign refractory oesophageal strictures that are difficult to treat, and often require advanced endoscopic techniques. In this review, we provide a practical overview on the evidence-based management of both benign and malignant oesophageal strictures, including a practical algorithm for managing benign refractory strictures.

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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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