内镜黏膜下剥离术治疗胃窦黏膜脱垂10例临床效果报道

Clinical effect of endoscopic submucosal dissection in treatment of antral mucosal prolapse (10 cases)

摘要:

目的??探讨内镜黏膜下剥离术（ESD）治疗胃窦黏膜脱垂的疗效及安全性。方法?对符合胃镜下所见的典型胃窦黏膜脱垂表现的患者，超声胃镜确认病变在黏膜层，排除肿瘤等疾病。经过质子泵抑制剂（PPI）连续治疗3个月，症状无明显好转，在患者知情同意的前提下行ESD。术后3个月门诊复诊，复查胃镜。结果?10例接受ESD术的胃窦黏膜脱垂患者，术中术后均未见出血、穿孔等并发症，术后3个月随访，患者症状明显改善，内镜下未见胃窦黏膜脱垂。结论?ESD术治疗胃窦黏膜脱垂是有效和安全的。

Abstract:

Objective?To evaluate the efficacy and safety of endoscopic submucosal dissection in treatment of prolapse of gastric mucosa.?Methods?to meet the typical gastric mucosal prolapse of gastric mucosa under endoscopy, the ultrasonic gastroscopy confirmed that the lesion was in the mucosal layer, and the disease was excluded. After PPI continuous treatment for 3 months, no significant improvement in symptoms, in patients with informed consent under the premise of endoscopic mucosal stripping. After 3 months of the operation return visit section for outpatients re-examination of gastroscopy.?Results?10 cases of complications of endoscopic submucosal dissection of gastric mucosa prolapse patients had no hemorrhage, perforation after operation, postoperative patients were followed up for 3 months, the symptoms were improved obviously, no antral mucosal prolapse was observed under endoscope.?Conclusion?Endoscopic submucosal dissection is effective and safe in treatment of gastric mucosal prolapse.