治疗大型良性腺瘤的冷电磁辐射、热电磁辐射或静电放电疗法：不能一刀切

IF 23 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gut Pub Date : 2024-09-17 DOI:10.1136/gutjnl-2024-333490

Veronique Van der Voort, Cesare Hassan, Alessandro Repici, Romain Legros, Mathieu Pioche, Jérémie Jacques

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引用次数: 0

摘要

我们饶有兴趣地阅读了 O'Sullivan 等人1 的研究报告，该报告探讨了冷内镜黏膜切除术（C-EMR）与热内镜黏膜切除术（H-EMR）的技术和手术效果。我们祝贺作者开展了这项重要研究，它为我们选择大的良性结直肠息肉的最佳治疗方式提供了宝贵的信息。不过，我们还想谈几点。首先，读者应该知道，这项研究的重点是经过严格筛选的大肠非梗阻性息肉（LNPCPs），因为在 4 年的研究期间，只有 20% 的转诊病变符合纳入标准，即 15-50 毫米的扁平病变，没有大结节、凹陷区或粘膜下浸润癌（SMIC）的光学怀疑。尽管如此，仍发现了 2.2% 的未识别 SMIC，...

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Cold EMR, hot EMR or ESD for large benign adenoma: not one size fits all

We read with great interest the study by O’Sullivan et al ,1 examining the technical and procedural outcomes of Cold Endoscopic Mucosal Resection (C-EMR) versus Hot EMR (H-EMR). We congratulate the authors for conducting this important research, which adds valuable information to the body of knowledge guiding our choice of the optimal treatment modality for large, benign colorectal polyps. However, we would like to address several points. First, readers should be aware that this study focuses on a highly selected group of large non-pedunculated colon polyps (LNPCPs) as only 20% of referred lesions during the study period of 4 years met the inclusion criteria, being flat lesions of 15–50 mm, without macronodule, depressed area or optical suspicion of submucosal invasive cancer (SMIC). Despite this selection, 2.2% unrecognised SMIC was found, …

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来源期刊

Gut 医学-胃肠肝病学

CiteScore

45.70

自引率

2.40%

发文量

284

审稿时长

1.5 months

期刊介绍： Gut is a renowned international journal specializing in gastroenterology and hepatology, known for its high-quality clinical research covering the alimentary tract, liver, biliary tree, and pancreas. It offers authoritative and current coverage across all aspects of gastroenterology and hepatology, featuring articles on emerging disease mechanisms and innovative diagnostic and therapeutic approaches authored by leading experts. As the flagship journal of BMJ's gastroenterology portfolio, Gut is accompanied by two companion journals: Frontline Gastroenterology, focusing on education and practice-oriented papers, and BMJ Open Gastroenterology for open access original research.