Ping-Hong Zhou, Qiang Shi, Yun-Shi Zhong, Li-Qing Yao, Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
World J Gastroenterol. 2013 Nov 7;19(41):6962-8. doi: 10.3748/wjg.v19.i41.6962.
The technique of endoscopic submucosal dissection (ESD), which was developed for en bloc resection of large lesions in the stomach, has been widely accepted for the treatment of the entire gastrointestinal tract. Many minimally invasive endoscopic therapies based on ESD have been developed recently. Endoscopic submucosal excavation, submucosal tunneling endoscopic resection and laparoscopic-endoscopic cooperative surgery have been used to remove submucosal tumors, especially tumors which originate from the muscularis propria of the digestive tract. Peroral endoscopic myotomy has recently been described as a scarless and less invasive surgical myotomy option for the treatment of achalasia. Patients benefit from minimally invasive endoscopic therapy. This article, in the highlight topic series, provides detailed information on the indications and treatments for esophageal diseases.
内镜黏膜下剥离术（ESD）技术最初是为了整块切除胃内的大病灶而开发的，现已广泛用于整个胃肠道的治疗。最近，许多基于 ESD 的微创内镜治疗方法已经得到发展。内镜黏膜下挖除术、黏膜下隧道内镜切除术和腹腔镜-内镜联合手术已被用于切除黏膜下肿瘤，特别是起源于消化道固有肌层的肿瘤。经口内镜肌切开术最近被描述为一种无疤痕、微创的手术肌切开术，用于治疗贲门失弛缓症。患者受益于微创内镜治疗。本文作为重点专题系列的一部分，提供了有关食管疾病的适应证和治疗方法的详细信息。
