在内镜切除方面取得了进展
Mitsuru Esaki1, Sonmoon Mohapatra2, Norio Fukami1
1Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Gastroenterology clinics of North America
|November 3, 2024
概括
本综述涵盖了内镜切除方面的进展,包括内镜膜下切除 (ESD) 的创新和全厚切除. 诸如冷陷多角切除术和水下内镜粘膜切除 (U-EMR) 等技术被强调为提高疗效.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术技巧 手术技巧
背景情况:
- 内镜切除对于胃肠病变管理至关重要.
- 传统方法在某些病变的疗效和安全性方面存在局限性.
- 进步的目的是改善切除能力和患者的结果.
研究的目的:
- 提供对内镜切除近期创新的概述.
- 讨论诸如内镜下粘膜切割 (ESD) 和内镜全厚切除 (EFTR) 等技术的演变和扩展.
- 突出提高安全性和有效性的关键技术和辅助方法.
主要方法:
- 关于内镜切除技术的最新文献的综述.
- 讨论内镜下粘膜切割 (ESD) 指示,创新和全厚切割.
- 对特定的多重体类型进行冷陷多重体切除和水下内镜粘膜切除 (U-EMR) 的分析.
- 探索辅助技术和新兴的内镜全厚切除 (EFTR) 方法.
主要成果:
- 内镜下粘膜切割 (ESD) 已经出现了重要的技术创新和扩展的指示.
- 冷陷多角切除术提供了有效的小息肉的去除.
- 水下内镜粘膜切除 (U-EMR) 对状病变有效,其作用正在扩大.
- 辅助技术显著提高了ESD的安全性和有效性.
- 内镜全厚切除 (EFTR),包括设备辅助和自由手方法,是一个新兴的领域.
结论:
- 最近的进展显著提高了内镜切除能力.
- 像ESD,U-EMR和EFTR这样的技术创新为消化道病变的去除提供了改进的解决方案.
- 辅助技术的持续发展有望进一步提高安全性和有效性.
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