内镜黏膜下层剥离术治疗消化道病变

被引：2

作者：

梁彪 ^{[1
]}

杨小乔 ^{[1
]}

汤绍辉 ^{[2
]}

许鸣 ^{[1
]}

李子旭 ^{[1
]}

王芳 ^{[1
]}

机构：

[1] 广东省第二人民医院消化内科内镜中心

[2] 暨南大学附属第一医院消化内科

来源：

中国内镜杂志 | 2009年 / 15卷 / 10期

关键词：

内镜下黏膜下层剥离术; 消化道病变; 消化道早期癌;

D O I：

暂无

中图分类号：

R656 [腹部外科学];

学科分类号：

100210 [外科学];

摘要：

目的探讨内镜黏膜下剥离术(ESD)治疗消化道病变的疗效及安全性。方法选择符合黏膜下切除术的患者,行ESD治疗,在病灶周围标记、黏膜下注射、切开病灶周围黏膜、剥离病灶、处理创面及术后追踪。结果ESD治疗了11例消化道病变。病变直径2.0～6.5cm,ESD手术时间为70～180min,10例病变为整块剥离切除,1例为分块切除。术后病理显示增生性息肉2例,腺瘤性病变7例,中级别内瘤变1例,早期癌1例。除1例ESD术后6h出血外,其余病例均无严重出血、穿孔等严重并发症。ESD术后随访1～3个月,创面愈合良好,均未见肿瘤残留和复发。结论ESD治疗消化道病变安全有效,并且具有整块切除率高、便于病理学评估、复发率较小、患者痛苦少恢复快等优点。

引用

页码：1012 / 1015

页数：4

共 12 条

[1]

Achieving R0 resection in the colorectum using endoscopic submucosal dissection [J].

Hurlstone, D. P. ;

Atkinson, R. ;

Sanders, D. S. ;

Thomson, M. ;

Cross, S. S. ;

Brown, S. .

BRITISH JOURNAL OF SURGERY, 2007, 94 (12) :1536-1542

[2]

Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization [J].

Tanaka, Shinji ;

Oka, Shiro ;

Kaneko, Iwao ;

Hirata, Mayuko ;

Mouri, Ritsuo ;

Kanao, Hiroyuki ;

Yoshida, Shigeto ;

Chayama, Kazuaki .

GASTROINTESTINAL ENDOSCOPY, 2007, 66 (01) :100-107

[3]

Endoscopic submucosal dissection for rectal tumors [J].

Onozato, Y. ;

Kakizaki, S. ;

Ishihara, H. ;

Iizuka, H. ;

Sohara, N. ;

Okamura, S. ;

Mori, M. ;

Itoh, H. .

ENDOSCOPY, 2007, 39 (05) :423-427

[4]

Indications for EMR/ESD in cases of early gastric cancer: relationship between histological type, depth of wall invasion, and lymph node metastasis [J].

Ishikawa, Shinji ;

Togashi, Akihiko ;

Inoue, Mituhiro ;

Honda, Shinobu ;

Nozawa, Fumiaki ;

Toyama, Eiichirou ;

Miyanari, Nobutomo ;

Tabira, Youichi ;

Baba, Hideo .

GASTRIC CANCER, 2007, 10 (01) :35-38

[5]

Endoscopic resection of early gastric cancer [J].

Gotoda, Takuji .

GASTRIC CANCER, 2007, 10 (01) :1-11

[6]

Successful nonsurgical management of perforation complicating endoscopic submucosal dissection of gastrointestinal epithelial neoplasms [J].

Fujishiro, M. ;

Yahagi, N. ;

Kakushima, N. ;

Kodashima, S. ;

Muraki, Y. ;

Ono, S. ;

Kobayashi, K. ;

Hashimoto, T. ;

Yamamichi, N. ;

Tateishi, A. ;

Shimizu, Y. ;

Oka, M. ;

Ogura, K. ;

Kawabe, T. ;

Ichinose, M. ;

Omata, M. .

ENDOSCOPY, 2006, 38 (10) :1001-1006

[7]

Endoscopic submucosal dissection for early gastric cancer: results and degrees of technical difficulty as well as success [J].

Imagawa, A. ;

Okada, H. ;

Kawahara, Y. ;

Takenaka, R. ;

Kato, J. ;

Kawamoto, H. ;

Fujiki, S. ;

Takata, R. ;

Yoshino, T. ;

Shiratori, Y. .

ENDOSCOPY, 2006, 38 (10) :987-990

[8]

Endoscopic submucosal dissection of early gastric cancer [J].

Gotoda, Takuji ;

Yamamoto, Hironori ;

Soetikno, Roy M. .

JOURNAL OF GASTROENTEROLOGY, 2006, 41 (10) :929-942

[9]

MANAGEMENT OF BLEEDING CONCERNING ENDOSCOPIC SUBMUCOSAL DISSECTION WITH THE FLEX KNIFE FOR STOMACH NEOPLASM.[J].Mitsuhiro Fujishiro;Naohisa Yahagi;Naomi Kakushima;Shinya Kodashima;Yosuke Muraki;Ayako Tateishi;Masao Omata.Digestive Endoscopy.2006, s1

[10]

Advantage of endoscopic submucosal dissection compared with EMR for early gastric cancer [J].

Oka, Shiro ;

Tanaka, Shinji ;

Kaneko, Iwao ;

Mouri, Ritsuo ;

Hirata, Mayuko ;

Kawamura, Toru ;

Yoshihara, Masaharu ;

Chayama, Kazuaki .

GASTROINTESTINAL ENDOSCOPY, 2006, 64 (06) :877-883

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