内镜下直接切除胰腺壁状坏死的新型切除系统:我们已经征服了最后的边界吗?

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY Journal of Digestive Endoscopy Pub Date : 2021-12-01 DOI:10.1055/s-0041-1741066

S. Rana, Rajesh Gupta

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引用次数: 0

摘要

外科坏死切除术是胰腺坏死的传统治疗方法，采用钝性解剖。然而，缺乏专用的内窥镜附件一直是直接内窥镜尸检（DEN）的主要限制。标准的内窥镜附件不能有效去除大块坏死物质。此外，内窥镜的器械通道的直径限制了使用能够去除大块坏死物质的大直径抓取器的能力。在这篇新闻中，我们讨论了最近的一项研究，该研究评估了一种用于DEN的新型动力内镜清创系统。

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Novel Resection System for Direct Endoscopic Necrosectomy of Walled-Off Pancreas Necrosis: Have We Conquered the Final Frontier?

Surgical necrosectomy has been the traditional management for pancreatic necrosis and is done using blunt dissection. However, lack of dedicated endoscopic accessories has been a major limitation in direct endoscopic necrosectomy (DEN). Standard endoscopic accessories cannot effectively remove large necrotic material. Also, diameter of instrument channel of the endoscope limits the ability to use large-diameter graspers that can remove large chunks of necrotic material. In this news, we discuss a recent study that has evaluated a new powered endoscopic debridement system for DEN.

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.