Diagnosis and management of Digestive diseases using Modern Endoscopic techniques in Hue University of Medicine and Pharmacy Hospital

Thua Thien Hue Technical innovation Competition in 2020 – the Second prize

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  • Authors: Tran Van Huy, Le Minh Tan, Phan Trung Nam, Vinh Khanh, Tran Quang Trung,
  • Nguyen Thi Huyen Thuong, Truong Xuan Long, Nguyen Phan Hong Ngoc, Nguyen Thi Nga, Phan Thi Hong Quy, Nguyen Thi Thanh Tu, Le Thi Bich Thao.
  • Unit: Gastrointestinal Center – Endoscopy, Hue University of Medicine and Pharmacy Hospital.

 

Abstract

 

Gastrointestinal, hepatobiliary, and pancreatic diseases are common and often develop serious conditions. Several new endoscopic techniques have recently been introduced, improving early diagnosis and minimally invasive treatments of these diseases. In Vietnam, there were limited studies done in applying these new techniques.

 

Our study has shown some promising results:

 

+ We identified 69 patients with early gastrointestinal (GI) cancer and removed all cases with endoscopic submucosal resection (ESD). ESD techniques resulted in 4.9 percent of patients with manageable complications. The disease-specific 5-year survival was 100% in patients without any recurrence.

 

+ For endoscopic ultrasound (EUS), 1176 cases were enrolled; 60.8% in liver and pancreatic diseases, 21.8% in subepithelial tumors, and 17.4% in GI cancer. We successfully conducted 20 EUS-FNA and 3 EUS-guided drainages of pancreatic pseudocyst cases (100%). The complication rate was only 5%.

 

+ In terms of double-balloon endoscopy, 47 patients were assigned. We detected the lesions in 30 patients (63.9%). The endoscopic intervention was conducted without any complication in 19 cases.

 

+ Finally, we performed endoscopic hemostasis using hemospray and plasma argon for 49 cases. We successfully stop bleeding for all cases without any complication.

 

Keywords: Magnifying chromoendoscopy, endoscopic ultrasound, double-balloon endoscopy, early gastrointestinal cancer, endoscopic Submucosal dissection, hemospray, argon plasma coagulation.

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