内镜下狭窄切开术治疗良性胃肠道狭窄患者肠内营养通路:综述

Y. Wang, Z. Zhuang
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引用次数: 0

摘要

摘要:良性胃肠道狭窄严重限制肠内营养,直接影响患者的生活质量。内镜技术的进步为胃肠道狭窄患者重建肠内营养通路提供了一种微创手段。内镜下狭窄切开术是一种安全有效的打开营养通路的方法,特别是对于解剖狭窄长度< 1 cm的患者,既可以作为治疗胃肠道狭窄患者的首选,也可以作为难治性病例的抢救治疗。内镜下狭窄切开术可采用放射状切口切开或圆形切口切开。狭窄切开术后,可采用其他内镜治疗,如内镜球囊扩张、支架植入、病灶内注射类固醇等,以防止再狭窄的发生。本文综述了内镜下狭窄切开术治疗胃肠道狭窄患者肠内营养通路狭窄的临床经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endoscopic Stricturotomy for Enteral Nutrition Access in Patients with Benign Gastrointestinal Strictures: a Review
Abstract: Benign gastrointestinal stricture significantly restricts enteral nutrition, which directly affects the quality of life of patients. Advances in endoscopic techniques have provided a minimally invasive means of reconstructing the enteral nutrition pathway in patients with gastrointestinal strictures. Endoscopic stricturotomy is a safe and effective way to open the nutritional pathway, especially for those with anatomic stricture length < 1 cm, and can be used either as the primary choice of treatment for patients with gastrointestinal stricture or as rescue therapy for refractory cases. Endoscopic stricturotomy can be executed with radial incision and cutting or circular incision and cutting. After the stricturotomy, other endoscopic treatments, such as endoscopic balloon dilation, stent implantation, and intra-lesional injection of steroids, can be used to prevent the development of re-stricture. This article reviews the clinical experiences with endoscopic stricturotomy for opening strictures along the enteral nutrition pathway in patients with gastrointestinal strictures.
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