胃肠道热烧蚀疗法。

IF 2.6 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Current Opinion in Gastroenterology Pub Date : 2023-09-01 Epub Date: 2023-06-22 DOI:10.1097/MOG.0000000000000954

Hendrik Manner

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引用次数: 0

摘要

综述目的：近年来，热消融疗法在消化道内窥镜检查中的作用不断扩大。本综述旨在概述目前可用的技术：在上消化道，主要针对早期巴雷特瘤，内镜消融策略从RFA到混合型APC，与切除策略一起成为主要的治疗手段。在小肠，氩等离子凝固术（APC）可有效治疗血管增生症。在下消化道，主要使用 APC 和射频消融术。在肿瘤阻塞的情况下，可使用热消融来重新开放管腔。小结：消融技术的多样性使内镜医师能够为每位患者选择合适的消融工具。

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Thermal ablative therapies in the gastrointestinal tract.

Purpose of review: Thermal ablatives therapies have seen an expanding role in gastrointestinal endoscopy during the last years. The aim of this review is to give an overview of the currently available techniques.

Recent findings: In the upper gastrointestinal tract, mainly in early Barrett's neoplasia, endoscopic ablation strategies ranging from RFA to Hybrid-APC are, together with resection strategies, the main part of the armamentarium. In the small intestine, argon plasma coagulation (APC) can be effectively used for the treatment of angiodysplasias. In the lower gastrointestinal tract, APC and RFA are mainly used. In tumour obstruction, thermal ablation is used to reopen the lumen. The selection of available techniques is still increasing.

Summary: The variety of ablation techniques enables the endoscopist to choose the appropriate ablation tool for each individual patient.

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来源期刊

Current Opinion in Gastroenterology 医学-胃肠肝病学

CiteScore

5.30

自引率

0.00%

发文量

137

审稿时长

6-12 weeks

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Gastroenterology features hand-picked review articles from our team of expert editors. With twelve disciplines published across the year – including gastrointestinal infections, nutrition and inflammatory bowel disease – every issue also contains annotated references detailing the merits of the most important papers.