Kato M, Hokari K, Nakagawa S, Nakaya H, Oda M, Kato T, Okawara T, Kamishima Y, Mizushima T, Komatsu Y, Ishizuka J, Sato F, Kawarazaki M, Sukegawa M, Kagaya H, Takeda H, Sugiyama T, Asaka M
Department of Endoscopy, Hokkaido University School of Medicine, Sapporo, Japan.
Hokkaido Igaku Zasshi. 2000 Jul;75(4):223-7.
Endoscopic diagnosis and treatment became to be necessary in gastroenterology for last two decades. Indication of endoscopic treatment is amazingly expanding because of developing new techniques and easy-to-use devices. Nowadays, the indication for endoscopic treatment includes the removal of foreign bodies in alimentary tract, the dilatation of stricture lesions by balloon or expandable metallic stent, the resection of polypoid and superficial tumors by polypectomy and EMR (endoscopic mucosal resection) techniques, the injection sclerotherapy and ligation method for gastroesophageal varices, the hemostasis of gastrointestinal hemorrhages by injection method or heat-burn method. In biliary and pancreatic area, there are some endoscopic treatments that are removal and destruction of stones in common bile duct, biliary and pancreatic drainage by tubing method. Our results of endoscopic resection for esophageal and gastric tumors are shown in this papers. In conclusion, complete resection that means histologically tumor negative of lateral and vertical margin of resected specimen is important to prevent recurrence of tumors after resection.
在过去二十年里，内镜诊断和治疗在胃肠病学领域变得不可或缺。由于新技术的发展和易于使用的设备，内镜治疗的适应症正在惊人地扩大。如今，内镜治疗的适应症包括取出消化道异物、通过球囊或可扩张金属支架扩张狭窄病变、通过息肉切除术和内镜黏膜切除术（EMR）切除息肉样和浅表肿瘤、用于治疗食管胃静脉曲张的注射硬化疗法和结扎法、通过注射法或热灼法治疗胃肠道出血。在胆道和胰腺领域，有一些内镜治疗方法，如取出和破坏胆总管结石、通过置管法进行胆道和胰腺引流。本文展示了我们对食管和胃肿瘤进行内镜切除的结果。总之，完全切除意味着切除标本的侧向和垂直边缘在组织学上肿瘤阴性，这对于预防切除后肿瘤复发很重要。
