Endoscopic mucosal resection in the colon: A practical guide

被引：47

作者：

Bourke, Michael ^{[1
]}

机构：

[1] Westmead Hosp, Dept Gastroenterol, Westmead, NSW, Australia

来源：

TECHNIQUES IN GASTROINTESTINAL ENDOSCOPY | 2011年 / 13卷 / 01期

关键词：

Polyp; Colonoscopy; Bowel cancer; Polypectomy;

D O I：

10.1016/j.tgie.2011.01.002

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Endoscopic mucosal resection (EMR) is an important therapy for large sessile lesions and advanced mucosal neoplasia of the colon. Careful pre-resection assessment against established classification systems including Paris and lesion granularity is mandatory to formulate a treatment plan, predict technical success and stratify for the risk of invasive disease. Lesions at high risk for invasive disease are best removed en bloc and this finding may dictate a change in the therapeutic strategy. Meticulous technique is crucial to maximise procedural success. This chapter will provide a comprehensive step by step approach to colonic EMR including equipment selection, lesion assessment, endoscopic technique, post procedural care and early detection and management of complications. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：35 / 49

页数：15

共 54 条

[1]

EMR of large, sessile, sporadic nonampullary duodenal adenomas: technical aspects and long-term outcome (with videos) [J].

Alexander, Sina ;

Bourke, Michael J. ;

Williams, Stephen J. ;

Bailey, Adam ;

Co, Jonard .

GASTROINTESTINAL ENDOSCOPY, 2009, 69 (01) :66-73

[2]

Endoscopic mucosal resection and endoscopic submucosal dissection [J].

不详 .

GASTROINTESTINAL ENDOSCOPY, 2008, 68 (01) :11-18

[3]

[Anonymous], 2003, GASTROINTEST ENDOSC, V58, pS3

[4]

Endoscopic mucosal resection of 161 cases of large sessile or flat colorectal polyps [J].

Arebi, Naila ;

Swain, David ;

Suzuki, Noriko ;

Fraser, Chris ;

Price, Ashley ;

Saunders, Brian P. .

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2007, 42 (07) :859-866

[5]

Update on the Paris classification of superficial neoplastic lesions in the digestive tract [J].

Axon, A ;

Diebold, MD ;

Fujino, M ;

Fujita, R ;

Genta, RM ;

Gonvers, JJ ;

Guelrud, M ;

Inoue, H ;

Jung, M ;

Kashida, H ;

Kudo, S ;

Lambert, R ;

Lightdale, C ;

Nakamura, T ;

Neuhaus, H ;

Niwa, H ;

Ogoshi, K ;

Rey, JF ;

Riddell, R ;

Sasako, M ;

Shimoda, T ;

Suzuki, H ;

Tytgat, GNJ ;

Wang, K ;

Watanabe, H ;

Yamakawa, T ;

Yoshida, S .

ENDOSCOPY, 2005, 37 (06) :570-578

[6]

Endoscopic mucosal resection for advanced non-polypoid colorectal adenoma and early stage carcinoma [J].

Bergmann, U ;

Beger, HG .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2003, 17 (03) :475-479

[7]

Surgeon volume and operative mortality in the United States [J].

Birkmeyer, JD ;

Stukel, TA ;

Siewers, AE ;

Goodney, PP ;

Wennberg, DE ;

Lucas, FL .

NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (22) :2117-2127

[8]

Hospital volume and surgical mortality in the United States. [J].

Birkmeyer, JD ;

Siewers, AE ;

Finlayson, EVA ;

Stukel, TA ;

Lucas, FL ;

Batista, I ;

Welch, HG ;

Wennberg, DE .

NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (15) :1128-1137

[9]

CURRENT STATUS OF COLONIC ENDOSCOPIC MUCOSAL RESECTION IN THE WEST AND THE INTERFACE WITH ENDOSCOPIC SUBMUCOSAL DISSECTION [J].

Bourke, Michael .

DIGESTIVE ENDOSCOPY, 2009, 21 :S22-S27

[10]

Mucosal resection in the upper gastrointestinal tract [J].

Bourke, Michael J. .

TECHNIQUES IN GASTROINTESTINAL ENDOSCOPY, 2010, 12 (01) :18-25

← 1 2 3 4 5 6 →