Sumiyama Kazuki, Gostout Christopher J
Mayo Clinic, Developmental Endoscopy Unit, Charlton 8-A, 200 First Street, SW, Rochester, MN 55905, USA.
Gastrointest Endosc Clin N Am. 2007 Jul;17(3):471-85, v-vi. doi: 10.1016/j.giec.2007.05.009.
Endoscopic intervention is evolving into an established therapeutic alternative for small superficial lesions, and an eventual application for en bloc resection of large lesions, deeper layers, and a reliable access to lesions outside of the gastrointestinal wall. Although further developmental and clinical evaluation is necessary, we believe endoscopic resection by the submucosal route and by full-thickness approaches will replace standard surgical procedures in the next several years.
内镜干预正逐渐成为治疗小的浅表病变的既定治疗选择,并最终应用于大块病变、深层病变的整块切除,以及可靠地进入胃肠道壁外的病变。尽管还需要进一步的发展和临床评估,但我们相信,未来几年内,通过黏膜下途径和全层方法进行的内镜切除将取代标准外科手术。