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Louis Jean Masgnaux¹, Jean Grimaldi¹, Jérémie Jacques²

¹Endoscopy Unit, Gastroenterology Pavillon L, Edouard Herriot Hospital, Lyon, France.

Visceral medicine

|June 14, 2024

概括

内镜切除技术如内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 现在为消化道病变提供了器官保存管理. 持续的创新旨在简化和增强这些微创手术,以实现更广泛的采用和改善患者的治疗结果.

科学领域:

胃肠病学和内镜检查
手术瘤学手术瘤学
最少侵入性手术的方法

背景情况:

从历史上看,庞大的消化道瘤病变是通过手术治疗的.
内镜切除的进步,包括EMR和ESD,已经将管理转向了器官保存.
与手术相比,这些内镜技术提供了治疗选择,降低了患病率.

研究的目的:

审查消化道病变的内镜切除技术的演变.
突出EMR和ESD领域的技术创新.
讨论先进内镜切除的好处和挑战.

主要方法:

审查的陷多面切除术,EMR,和ESD技术.
讨论技术创新:水下EMR,定EMR,混合EMR,引辅助方法,粘性下注射溶液.
对ESD进步的分析:引策略,刀具技术,内镜优化,以及对断片切除的病理学解释的挑战.

主要成果:

随着内镜切除技术的不断改进,R0切除率提高,复发率降低.
这些进步大大降低了病变管理的侵入性.
由于复发率,EMR后的早期后续行动至关重要;ESD采用需要进一步简化和安全改进.

结论:

内镜切除代表了消化道病变管理的重大进步,优先考虑器官的保存.
持续的创新对于简化ESD和提高其广泛适用性至关重要.
在EMR之后,严格的术后监测仍然是必要的,以管理复发风险.

关键词:

内镜粘膜切除进行内镜粘膜切除.内镜下粘膜切割进行内镜下粘膜切割.技术的进步是技术的进步.引力装置的引力装置.

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