源自固有肌层的胃小上皮下肿瘤的内镜治疗
Endoscopic treatments for small gastric subepithelial tumors originating from muscularis propria layer.
作者信息
Zhang Yu, Ye Li-Ping, Mao Xin-Li
机构信息
Yu Zhang, Li-Ping Ye, Xin-Li Mao, Department of Gastroenterology, Taizhou Hospital of Zhejiang Province, Wenzhou Medical College, Linhai 317000, Zhejiang Province, China.
出版信息
World J Gastroenterol. 2015 Aug 28;21(32):9503-11. doi: 10.3748/wjg.v21.i32.9503.
Abstract
Minimally invasive endoscopic resection has become an increasingly popular method for patients with small (less than 3.5 cm in diameter) gastric subepithelial tumors (SETs) originating from the muscularis propria (MP) layer. Currently, the main endoscopic therapies for patients with such tumors are endoscopic muscularis excavation, endoscopic full-thickness resection, and submucosal tunneling endoscopic resection. Although these endoscopic techniques can be used for complete resection of the tumor and provide an accurate pathological diagnosis, these techniques have been associated with several negative events, such as incomplete resection, perforation, and bleeding. This review provides detailed information on the technical details, likely treatment outcomes, and complications associated with each endoscopic method for treating/removing small gastric SETs that originate from the MP layer.
摘要
对于起源于固有肌层（MP）的直径小于3.5厘米的小胃黏膜下肿瘤（SETs）患者，微创内镜切除术已成为一种越来越受欢迎的方法。目前，针对此类肿瘤患者的主要内镜治疗方法是内镜下肌层剥离术、内镜全层切除术和黏膜下隧道内镜切除术。尽管这些内镜技术可用于完整切除肿瘤并提供准确的病理诊断，但这些技术也与一些不良事件相关，如切除不完全、穿孔和出血。本综述提供了关于每种内镜治疗/切除起源于MP层的小胃SETs方法的技术细节、可能的治疗结果及并发症的详细信息。
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