Inoue H, Tani M, Nagai K, Kawano T, Takeshita K, Endo M, Iwai T
First Dept. of Surgery, Tokyo Medical and Dental University, Japan.
Endoscopy. 1999 Jan;31(1):47-55. doi: 10.1055/s-1999-13647.
Endoscopic mucosal resection (EMR) has gained increasing popularity in the treatment of esophageal and gastric mucosal cancers in Japan, for complete local resection of the cancer-bearing mucosa. In Western countries, the concept of mucosal cancer and the necessity of treating it are gradually but steadily coming to be accepted. As a treatment for inoperable cases of advanced cancer, on the other hand, intubation with self-expanding metal stents has been widely accepted as a less invasive form of palliation for malignant obstruction of the upper gastrointestinal tract. Tumor ingrowth into the stent can be mechanically avoided by adding a membrane coating to it. In the last two years, applications for therapeutic endoscopy in the treatment of esophageal and gastric tumors have continued to widen.
在日本，内镜下黏膜切除术（EMR）在治疗食管和胃黏膜癌方面越来越受欢迎，可对含癌黏膜进行完整的局部切除。在西方国家，黏膜癌的概念及其治疗的必要性正逐渐但稳步地被接受。另一方面，作为晚期癌症不可手术病例的一种治疗方法，自膨式金属支架插管已被广泛接受，作为对上消化道恶性梗阻的一种侵入性较小的姑息治疗方式。通过给支架添加膜涂层可在机械上避免肿瘤长入支架。在过去两年中，治疗性内镜在食管和胃肿瘤治疗中的应用范围不断扩大。
