Xalka qallafsan ee endoscopy caafimaad ee ogaanshaha iyo daaweynta cudurrada caloosha iyo mindhicirka

1. Horumarka qaska ah ee goobta cudurka

1. Kaabsulka Wireless Endoscopy (WCE)

Burbursan: Si buuxda u xalli "barta indho la'aanta" ee baaritaanka mindhicirka yar oo beddel nooca xanuunka ee soo noqnoqda ee xiidmaha yar ee mindhicirka yar.

Casriyeynta farsamada:

AI waxay caawisay ogaanshaha: sida Given Imaging's PillCam SB3, oo ku qalabaysan tignoolajiyada heerka laqabsiga, AI waxay si toos ah u calaamadisaa dhibcaha dhiigbaxa/ boogaha (dareenka>90%).

Gastroscopy kaabsulka kontoroolka magnetic (sida NaviCam oo ka socota Anhan Technology): xakamaynta saxda ah ee wareegga kaabsulka ee goobta magnetic dibadda waxay awood u siineysaa baaritaan dhamaystiran oo caloosha ah, iyo saxnaanta baaritaanka hore ee kansarka caloosha waxay la mid tahay gastroscopy dhaqameed (> 92%).

Kaabsoosha biopsy (marxaladda tijaabada): sida kaabsal-xajin-yar oo ay sameeyeen kooxda cilmi-baarista Kuuriyada Koonfureed, kaas oo meel fog laga koontarooli karo muunad.

2. Tignoolajiyada endoscopic midabaynta caqliga

Sawirka Cidhiidhiga ah (NBI):

Mabda'a: 415nm/540nm iftiinka spectrum cidhiidhi ah ayaa kor u qaada farqiga xididdada xuubka.

Saamaynta khalkhalgelinta: Heerka ogaanshaha kansarka caloosha hore wuxuu ka kordhay 45% endoscopy nalka cad ee caadiga ah ilaa 89% (sida ku cad jaangooyada JESDS ee Japan).

Isku xirka Sawirka (LCI):

Faa'iidada: Algorithm ee Fuji's patented wuxuu leeyahay 30% heerka aqoonsiga sare ee gastritis-ka sare iyo metaplasia mindhicirka marka la barbar dhigo NBI.

3. Confocal Laser Endoscopy (pCLE)

Iftiiminta farsamada: Dhexroorka baaritaanku waa kaliya 1.4mm (sida nidaamka Cellvizio), oo lagu gaaro fiirsashada heerka unugyada waqtiga-dhabta ah ee kor u qaadista 1000 jeer.

Qiimaha kiliinikada:

Aqoonsiga degdega ah ee dysplasia hunguriga Barrett si looga fogaado cad-cad-baxyo soo noqnoqda.

Qiimaha saadaasha xun ee la socodka kansarka mindhicirka colitis waa 98%.

2. Xalalka kacaanka ee berrinkii daaweynta

1. Kala-baxa xuubka endoscopic (ESD)

Horumarka tignoolajiyada:

Mindida laba-cirifoodka ah ee korantada (sida FlushKnife BT): faleebo milix ah ayaa yaraynaysa khatarta daloolista.

CO ₂ laser la caawiyay: uumiga saxda ah ee lakabka xuubka hoose, mugga dhiigbaxa<5ml.

Xogta caafimaad:

Heerka iska-soocidda daawaynta ee kansarka caloosha hore waa in ka badan 95%, iyo heerka badbaadada 5-ta sano wuxuu la mid yahay qalliin dhaqameed (in ka badan 90%).

Daraasadda DDW ee Maraykanka waxay muujinaysaa in guud ahaan heerka dib-u-soo-celinta burooyinka koritaanka xiidanka (LST) ee ka weyn 3cm ay tahay 91%.

2. Qalliinka Endoscopic ee daloolka dabiiciga ah (NOTES)

Farsamooyinka qalliinka ee matalayaasha:

Transgastric cholecystectomy: Olympus TriPort endoscope multi-channel ayaa la isticmaalaa, waxaana cuntada la cunaa 24 saacadood ka dib qaliinka.

Appendectomy Transrectal: Kooxda Kuuriyada Koonfureed ayaa ka warbixisay kiiskii ugu horreeyay ee guuleysta ee adduunka 2023.

Qalabka muhiimka ah: Lakab buuxa oo xirxiran (sida OTSC) ®) Xalli caqabadda ugu weyn ee XUSUUS - xiritaanka godka.

3. Dib-u-eegidda dhumucda buuxa ee Endoscopic (EFTR)

Horumarka tilmaanta: Daawaynta burooyinka stromal gastric (GIST) ee ka soo jeeda lakabka muruqa ee gudaha.

Furaha Farsamada: Qalliinka Laparoscopic endoscopic la isku daray (LECS) wuxuu xaqiijiyaa badbaadada.

Qalab cusub oo tol ah (sida OverStitch) ™) Aqoonso tolida lakabka buuxa.

3. Nidaam isku dhafan oo loogu talagalay ogaanshaha iyo daawaynta burada

1. Xiritaanka soo noqnoqda raadiyaha la hagayo (EUS-RFA)

Daawaynta kansarka xameetida: 19G irbad dalool ah ayaa la galiyay baaritaanka RF, iyo heerka kontoroolka maxalliga ah wuxuu ahaa 73% (≤ 3cm buro).

Marka loo eego qalliinka furan, heerka dhibka ayaa hoos uga dhacay 35% ilaa 8%. Codsiga kansarka beerka: Ablation Duodenal of burooyinka ku jira caudate lobe ee beerka.

2. Qalliinka endoscopic navigation fluorescent

Tignoolajiyada calaamadaynta ICG: duritaanka faleebada ee ka horreeya qalliinka, endoscopy-ku dhow-infrared (sida Olympus OE-M) si loo muujiyo kala duwanaanshaha dheecaanka lymfatic. Dhamaystirka kala-soocidda qanjidhada qanjidhada inta lagu jiro qalliinka kansarka caloosha ayaa la hagaajiyay 27%.

Baarayaasha fluorescent ee la beegsaday (marxaladda tijaabada): sida MMP-2 enzymes probes ka jawaab celinta, si gaar ah u calaamadee metastases yaryar.

4. Hal-abuurnimada Xaaladaha Degdegga ah iyo Daryeelka Ba'an

1. Dhiig-baxa caloosha oo ba'an

Budada hemostatic hemospray:

Marka lagu buufiyo endoscopic, waxaa la sameeyay xannibaad farsamo, oo leh heerka dhiigbaxa 92% (Forrest Grade Ia dhiigbaxa).

In ka badan The Baaxadda Clip (OTSC):

Naqshadaynta "Claw Bear", xidhitaanka dalool boogaha oo leh dhexroor ilaa 3cm ah.

2. Depression endoscopic ee xannibaadda mindhicirka

Isku-ballaadhinta birta (SEMS):

Daaweynta buundada loogu talagalay xannibaadda xunxun ee mindhicirka, oo leh heer nasasho oo ka badan 90% 48 saacadood gudahood.

Xirmooyinka goynta laser-ka cusub (sida Niti-S) ™) Hoos u dhig heerka isbeddelka ilaa 5%.

5. Tilmaamaha teknoolajiyada mustaqbalka

1. Nidaamka go'aan qaadashada waqtiga dhabta ah ee AI:

Sida Cosmo AI ™ Si toos ah u aqoonso xawaaraha ka-noqoshada inta lagu jiro baarista walamadka, hoos u dhigista cudurka adenoma ee seegay (ADR wuxuu kordhay 12%).

2. Endoscope kaabsulka la dumin karo:

Jirka daawaynta Magnesium + qolof polylactic acid, oo ku milmay jidhka 72 saacadood gudahood ka dib marka la eego.

3. Endoscope Micro-robot:

"Robot origami" ee ETH Zurich waxaa loo horumarin karaa goob qalliin oo muunad ah.

Shaxda Isbarbardhigga Saamaynta Kiliinikada

Tixgelinta fulinta

Isbitaalada xididka cawska: Mudnaanta waa in la siiyaa qalabaynta kaabsulka kontoroolka magnetic gastroscopy+ OTSC hemostatic system.

Isbitaalka fasalka saddexaad: Waxaa lagu talinayaa in la sameeyo ESD+EUS-RFA xarun daawaynta ugu yar ee kansarka.

Jihada cilmi baarista: Diirada saar baaritaanka pathology-ga AI-waqtiga-dhabta ah +

Farsamooyinkani waxay dib u dhis ku samaynayaan ogaanshaha iyo daawaynta ee cudurada caloosha iyo mindhicirka iyada oo loo marayo saddex waddo oo waaweyn: aan duullaan ahayn, sax ah, iyo caqli. Codsiga dhabta ah wuxuu u baahan yahay in lagu daro kala duwanaanshaha bukaanka shakhsi ahaaneed iyo helitaanka ilaha caafimaadka.