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首页> 外文期刊>Endoscopy International Open >Definitive therapy of colonic angioectasia by submucosal coagulation
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Definitive therapy of colonic angioectasia by submucosal coagulation

机译：通过粘膜凝固的结肠血管梭菌的最终治疗

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Background and study aims?Colonic angioectasia are the most common vascular lesions in the gastrointestinal tract and are among the most common causes for chronic or recurrent lower gastrointestinal bleeding. Endoscopic treatment involves a variety of techniques, all of which focus on destruction of the mucosal abnormality. However, recurrent bleeding after endoscopic treatment is common, with more than one treatment frequently necessary. We report a technique for definitive treatment of colonic angioectasia by targeting the feeding submucosal vessel. Patients and methods?Analogous to endoscopic mucosal resection, a submucosal injection is made beneath the target lesion which is then removed by electrocautery snare resection of the mucosal lesion. The exposed feeding vessel is then destroyed by application of coagulation current. The resection defect is closed by clips. Results?Six patients with a total of 14 colonic angioectasia were treated over the study period. All lesions were destroyed without adverse events. Conclusion?Elevation, hot snare resection and coagulation (ESC) of the visible vessel for treating colonic angioectasia appears safe and effective. Larger prospective comparative studies are required to assess its specific role.
机译：背景和研究旨在？结肠血管障碍是胃肠道中最常见的血管病变，是慢性或复发性较低胃肠道出血的最常见原因之一。内窥镜治疗涉及各种技术，所有这些都专注于破坏粘膜异常。然而，内镜治疗后的复发出血是常见的，经常有多于一种治疗方法。我们通过靶向饲喂粘膜血管来报告一种用于通过靶向凋亡的血管梭对结肠血管分离性的方法。患者和方法？类似于内窥镜粘膜切除术，粘膜床下降在靶病变下方，然后通过粘膜病变的电陶器圈切除切除除去。然后通过涂覆电流施加暴露的饲喂容器。切除缺陷由夹子关闭。结果？六名患有14例结肠血管梭中的患者在研究期间进行治疗。所有病变都被摧毁而没有不良事件。结论？用于治疗结肠血管梭的可见血管的升高，热圈切除和凝固（ESC）似乎安全有效。需要更大的前瞻性比较研究来评估其特定作用。

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