Endoscopic submucosal dissection for gastrointestinal neoplasms

查看全文 作　　者：Naomi [1]Kakushima;Mitsuhiro [1]Fujishiro

机构地区：[1]Department of Gastroenterology,The University of Tokyo,Graduate School of Medicine

出　　处：《World Journal of Gastroenterology》索引2008年第14卷第19期,共6页

摘　　要：Endoscopic submucosal dissection (ESD) is an advanced technique of therapeutic endoscopy for superficial gastrointestinal neoplasms. Three steps characterize it:injecting fluid into the submucosa to elevate the lesion, cutting the surrounding mucosa of the lesion, and dissecting the submucosa beneath the lesion. The ESD technique has rapidly permeated in Japan for treatment of early gastric cancer, due to its excellent results of en- bloc resection compared to endoscopic mucosal resection (EMR). Although there is still room for improvement to lessen its technical difficulty, ESD has recently been applied to esophageal and colorectal neoplasms. Favorable short-term results have been reported, but the application of ESD should be well considered by three aspects:(1) the possibility of nodal metastases of the lesion, (2) technical difficulty such as location, ulceration and operator’s skill, and (3) organ characteristics. 关键词：内窥镜检查胃癌食管癌结直肠癌诊断方法

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Endoscopic submucosal dissection for gastrointestinal neoplasms

参考文献(66)

引证文献(98)

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