痔疮在我国发病率高达50.1%,并随年龄增长而上升,其中内痔占90.0%。临床主要表现为出血、肛门瘙痒、疼痛、脱垂和排便困难等;。内镜下胶圈套扎治疗术操作灵活、高效和性价比高,解决以往手术的盲目结扎、注射和住院时间久、费用昂贵等问...痔疮在我国发病率高达50.1%,并随年龄增长而上升,其中内痔占90.0%。临床主要表现为出血、肛门瘙痒、疼痛、脱垂和排便困难等;。内镜下胶圈套扎治疗术操作灵活、高效和性价比高,解决以往手术的盲目结扎、注射和住院时间久、费用昂贵等问题,避免因手术不当切除而造成的大出血、直肠狭窄、肛门失禁、术后剧痛等诸多并发症,近年来备受关注。现将云南省大理州白族自治区剑川县人民医院消化内科收治的外科吻合器痔上黏膜环切(procedure for prolapsed and hemorrhodis,PPH)术后内痔脱垂复发行内镜胶圈套扎治疗术的1例报道如下。展开更多
Background: Leiomyoma is a relatively common submucosal tumor in the upper-GI tract. The efficacy of a new method for resection of these tumors, endoscopic band ligation,was evaluated. Methods: The study included 59 p...Background: Leiomyoma is a relatively common submucosal tumor in the upper-GI tract. The efficacy of a new method for resection of these tumors, endoscopic band ligation,was evaluated. Methods: The study included 59 patients with 64 small upper-GI leiomyomas arising in the muscularis propria as determined by endoscopy, EUS, and EUS-guided FNA. The distribution of the 64 leiomyomas was the following: esophageal, 50; gastric, 12; duodenal, 2. A standard endoscope with a transparent cap attached to the tip was used. The cap was placed over the lesion, maximum sustained suction was applied, and an elastic band was released around the base. Beginning 2 weeks after banding,the lesions were observed endoscopically once per week until healing was complete. Results: The 50 esophageal leiomyomas sloughed completely. The mean time required for complete healing after band ligation was 3.6 weeks. Nine of the 12 gastric leiomyomas sloughed completely; the resulting ulcer defect was healed at a mean of 4.5 weeks.The other 3 lesions did not slough because they were not completely ligated. The two duodenal lesions sloughed completely after banding, and the mean time until healing of the defect was 4.5 weeks. No perforation occurred. Follow-up ranged from 16 to 31 months, during which time no recurrence was observed. Conclusions: Endoscopic band ligation is an effective and safe treatment for small upper-GIleiomyoma.展开更多
文摘痔疮在我国发病率高达50.1%,并随年龄增长而上升,其中内痔占90.0%。临床主要表现为出血、肛门瘙痒、疼痛、脱垂和排便困难等;。内镜下胶圈套扎治疗术操作灵活、高效和性价比高,解决以往手术的盲目结扎、注射和住院时间久、费用昂贵等问题,避免因手术不当切除而造成的大出血、直肠狭窄、肛门失禁、术后剧痛等诸多并发症,近年来备受关注。现将云南省大理州白族自治区剑川县人民医院消化内科收治的外科吻合器痔上黏膜环切(procedure for prolapsed and hemorrhodis,PPH)术后内痔脱垂复发行内镜胶圈套扎治疗术的1例报道如下。
文摘Background: Leiomyoma is a relatively common submucosal tumor in the upper-GI tract. The efficacy of a new method for resection of these tumors, endoscopic band ligation,was evaluated. Methods: The study included 59 patients with 64 small upper-GI leiomyomas arising in the muscularis propria as determined by endoscopy, EUS, and EUS-guided FNA. The distribution of the 64 leiomyomas was the following: esophageal, 50; gastric, 12; duodenal, 2. A standard endoscope with a transparent cap attached to the tip was used. The cap was placed over the lesion, maximum sustained suction was applied, and an elastic band was released around the base. Beginning 2 weeks after banding,the lesions were observed endoscopically once per week until healing was complete. Results: The 50 esophageal leiomyomas sloughed completely. The mean time required for complete healing after band ligation was 3.6 weeks. Nine of the 12 gastric leiomyomas sloughed completely; the resulting ulcer defect was healed at a mean of 4.5 weeks.The other 3 lesions did not slough because they were not completely ligated. The two duodenal lesions sloughed completely after banding, and the mean time until healing of the defect was 4.5 weeks. No perforation occurred. Follow-up ranged from 16 to 31 months, during which time no recurrence was observed. Conclusions: Endoscopic band ligation is an effective and safe treatment for small upper-GIleiomyoma.
