开孔膜引流系统在内窥镜真空治疗中的作用:现状与文献综述

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY Visceral Medicine Pub Date : 2023-12-11 DOI:10.1159/000535029
Konstantinos Kouladouros, Dörte Wichmann, Gunnar Loske
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引用次数: 0

摘要

背景:内窥镜真空治疗(EVT)是一种日益流行的内窥镜技术,用于治疗胃肠道壁缺损。开孔膜引流(OFD)系统是 EVT 的新成员,在广泛的应用中取得了令人鼓舞的效果。本综述旨在总结目前有关胃肠道开孔膜引流系统应用的文献。摘要:开孔薄膜引流系统(OFD)已被用于治疗多种胃肠道缺损。这些设备体积小、易于放置,因此非常有用,尤其是在治疗体积小或难以触及的缺损时。OFD 已成功用于治疗不同部位的穿孔和吻合口漏,大多数报道都集中在十二指肠缺损的治疗上,但也有成功应用于食道、胃和结肠的报道。最近,人们还探索了 OFD 在先期 EVT 中的作用。关键信息:OFD 系统易于使用,尤其适用于小缺损和具有挑战性的定位。目前的文献主要由小型病例系列和病例报告组成,显示了令人鼓舞的结果,但还需要进一步的前瞻性研究来探索和验证这种创新方法的适应症和技术方面。
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The Role of Open-Pore Film Drainage Systems in Endoscopic Vacuum Therapy: Current Status and Review of the Literature
Background: Endoscopic vacuum therapy (EVT) is an increasingly popular endoscopic technique used for the treatment of wall defects in the gastrointestinal tract. Open-pore film drainage (OFD) systems are a new addition to the armamentarium of EVT and have shown encouraging results in a wide spectrum of applications. The aim of this review is to summarize the current literature on the applications of OFD systems in the gastrointestinal tract. Summary: Open-pore film drainage (OFD) systems have been used for the treatment of several defects of the gastrointestinal tract. The small size and easy placement of these devices make them very useful, particularly for the treatment of defects that are small in size or difficult to reach. OFDs have been successfully used for both perforations and anastomotic leaks in various locations, with most reports focusing on the treatment of duodenal defects, although successful applications in the esophagus, stomach, and colon have also been reported. Lately, the role of OFDs in preemptive EVT has also been explored. Key Messages: OFD systems are easy to use, particularly for small defects and challenging localizations. The current literature, consisting mainly of small case series and case reports, shows encouraging results, but further prospective studies are needed to explore and verify the indications and technical aspects of this innovative method.
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来源期刊
Visceral Medicine
Visceral Medicine Medicine-Surgery
CiteScore
4.50
自引率
0.00%
发文量
40
期刊介绍: This interdisciplinary journal is unique in its field as it covers the principles of both gastrointestinal medicine and surgery required for treating abdominal diseases. In each issue invited reviews provide a comprehensive overview of one selected topic. Thus, a sound background of the state of the art in clinical practice and research is provided. A panel of specialists in gastroenterology, surgery, radiology, and pathology discusses different approaches to diagnosis and treatment of the topic covered in the respective issue. Original articles, case reports, and commentaries make for further interesting reading.
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