Objective To observe the efficacy of endoscopic radial incision (ERI) in the treatment of stenosis after esophageal endoscopic submucosal dissection (ESD), and to summarize the key points of perioperative nursing and intraoperative operation cooperation.
Methods Clinical materials of 11 patients with stenosis after esophageal ESD were collected. The diameter of stenosis and dysphagia score were compared before and after operation in all the patients, the incidence condition of operation related complications was recorded, and the influence of perioperative nursing and intraoperative cooperation on the efficacy and safety of operation was analyzed.
Results All the 11 patients completed ERI, the average stenosis length was (2.72±1.48) cm, the average operation time was (25.45±16.00) min, and no perforation, bleeding and other complications were observed in all the patients. The average dysphagia score of 11 patients was (3.09±0.54) points before operation, which decreased to (1.18±0.60) points on the fifth day after operation and (1.45±0.69) and (1.80±0.98) points at 3 and 6 months after operation, and there were significant differences when compared to the score before operation (P<0.05). The diameters of stenosis in 11 patients were (0.34±0.14), (1.26±0.19), (1.16±0.22) and (1.14±0.20) cm at the time points of before operation, 5 days after operation, 3 months and 6 months after operation, which showed significant differences when compared to diameter before operation (P<0.05).
Conclusion ERI is safe and effective in the treatment of stenosis after esophageal ESD. The tacit cooperation between doctors and nurses can improve the safety of operation, and standardized perioperative nursing can promote the rehabilitation of patients.
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