内镜粘膜切除或内镜亚粘膜剖析:选择正确的工具,以一个无多的结肠
George M Wahba1, Fredy Nehme2, Phillip S Ge1
1Department of Gastroenterology and Hepatology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 是结直肠多管理的关键工具. 在EMR和ESD之间做出选择取决于病变,患者和内镜医生的因素,以获得最佳的结果.
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
- 结肠直肠癌 预防 预防
背景情况:
- 内镜切除是结肠直肠多管理的标准.
- 随着内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 的专业知识不断增加,需要了解它们的不同作用.
研究的目的:
- 审查EMR和ESD的互补作用,优势和局限性.
- 为EMR和ESD策略提供基于案例的审查.
主要方法:
- 以病例为基础的审查使用患者场景.
- 对EMR的基于证据的技术改进进行审查.
- 扩大获取和培训对EDD成果的影响的分析.
- 讨论影响内镜切除策略的因素.
主要成果:
- 技术改进改善了EMR的安全性,并减少了复发.
- 加强ESD访问和培训改善了结果,并减少了不良事件.
- 损伤,患者和内镜师的特征会影响策略选择.
结论:
- EMR和ESD是互补的内镜切除工具.
- 选择最佳策略需要了解可用的工具.
- 基于患者,内镜医生和病变因素的个性化方法至关重要.
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