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相关概念视频

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

80
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
80
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
134
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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内镜粘膜切除和内镜亚粘膜剖析.

Sumeyye Yilmaz1, Emre Gorgun1

  • 1Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.

Clinics in colon and rectal surgery
|August 12, 2024
PubMed
概括

与传统方法相比,先进的内镜切除技术,如内镜膜下切割 (ESD),为结直肠多瘤提供更高的块切除率,减少了手术需求. 对于较大的息肉和早期癌症,ESD特别有效.

科学领域:

  • 胃肠病学 胃肠病学
  • 内視鏡外科手術 內視鏡外科手術
  • 在瘤学瘤学.

背景情况:

  • 传统的多角切除术适用于有限比例的结直肠多.
  • 先进的内镜切除技术比传统方法提供了更好的结果.
  • 这些先进的技术可以帮助患者避免手术并发症.

研究的目的:

  • 为了比较先进的内镜切除技术的疗效,特别是内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD).
  • 评估结块切除率,复发率和ESD在治疗结肠直肠多和早期癌症中的适应性.

主要方法:

  • 在下注射和升高后,EMR涉及陷切除.
  • 对于更大或更复杂的病变,ESD包括标记,下注射,切口和剖析.
  • 诸如出血和穿孔等并发症可以通过内镜剪切和凝血来控制.

主要成果:

  • 在EMR的整体切割率从44.5%到63%不等,而ESD达到87.9%到96%.
  • 与ESD (0.9%2%) 相比,EMR的复发率更高 (7.4%17%).
  • 在特定条件下,ESD对内癌和有限的下侵袭 (<1000微米) 的癌症有效.

结论:

关键词:
先进的内镜切除术.结肠中的多胞体.进行内镜粘膜切除.进行内镜下膜剖析.

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  • 建议ESD用于多体>20mm和选择的早期结直肠癌.
  • 与EMR相比,ESD显示出优异的块切除和较低的复发率.
  • 针对特定的侵入性癌症,ESD是手术的可行替代方案,其成功率高,利率为负.