Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
Endoscopy. 2011 Sep;43(9):822-5. doi: 10.1055/s-0030-1256615. Epub 2011 Aug 4.
Subepithelial lesions (SELs) are occasionally found in the esophagus during upper endoscopy. Sometimes endoscopic resection is needed for accurate diagnosis or in the rare cases of malignant transformation of SELs. In this case series, we evaluated the usefulness of endoscopic submucosal resection with a ligation device (ESMR-L) in esophageal SELs. Twenty-three patients with 25 esophageal SELs that were no larger than 13 mm and were localized within the muscularis mucosae or submucosa were enrolled. ESMR-L was successfully performed in all 25 SELs. The en bloc resection rate was 100% (25/25), and histologically complete resection was achieved in 24 lesions (24/25, 96%). After resection of the lesion by snare, minor immediate bleeding occurred in four cases, but there was no delayed bleeding or perforation.
在上消化道内镜检查中偶尔会发现食管黏膜下病变（SELs）。有时需要进行内镜下黏膜切除术（ESMR）以明确诊断，或在极少数情况下，当 SELs 发生恶性转化时。在本病例系列中，我们评估了结扎装置辅助内镜黏膜下剥离术（ESMR-L）在食管 SELs 中的应用价值。共纳入 23 例患者，共 25 处直径不超过 13mm、局限于黏膜肌层或黏膜下层的食管 SELs。所有 25 处 SELs 均成功进行了 ESMR-L 治疗。整块切除率为 100%（25/25），24 处病变（24/25，96%）达到了组织学完全切除。圈套器切除病灶后，4 例即刻出现少量出血，但无迟发性出血或穿孔。
