医学
外科
纤维接头
粘膜切除术
回顾性队列研究
内窥镜检查
结束语(心理学)
病历
不利影响
内科学
经济
市场经济
作者
Jose Antonio Almario,Linda Y. Zhang,Jonathan Cohen,Gregory B. Haber,Hemchand Ramberan,Andrew C. Storm,Stuart R. Gordon,Jeffrey M. Adler,Heiko Pohl,Alexander Schlachterman,Anand Kumar,Shailendra Singh,Bashar J. Qumseya,Peter V. Draganov,Nikhil A. Kumta,Andrew Canakis,Woojin Kim,Hiroyuki Aihara,Apurva Shrigiriwar,Saowanee Ngamruengphong,Mouen A. Khashab
出处
期刊:Endoscopy
[Georg Thieme Verlag KG]
日期:2023-05-19
卷期号:55 (09): 865-870
被引量:4
摘要
Delayed bleeding is among the most common adverse events associated with endoscopic mucosal resection (EMR) of nonampullary duodenal polyps. We evaluated the rate of delayed bleeding and complete defect closure using a novel through-the-scope (TTS) suturing system for the closure of duodenal EMR defects.We reviewed the electronic medical records of patients who underwent EMR for nonampullary duodenal polyps of ≥ 10 mm and prophylactic defect closure with TTS suturing between March 2021 and May 2022 at centers in the USA. We evaluated the rates of delayed bleeding and complete defect closure.36 nonconsecutive patients (61 % women; mean [SD] age, 65 [12] years) underwent EMR of ≥ 10-mm duodenal polyps followed by attempted defect closure with TTS suturing. The mean (SD) lesion size was 29 (19) mm, defect size was 37 (25) mm; eight polyps (22 %) involved > 50 % of the lumen circumference. Complete closure was achieved in all cases (78 % with TTS suturing alone), using a median of one TTS suturing kit. There were no cases of delayed bleeding and no adverse events attributed to application of the TTS suturing device.Prophylactic closure of nonampullary duodenal EMR defects using TTS suturing resulted in a high rate of complete closure and no delayed bleeding events.
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