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EMR achieves similar oncological outcomes as ESD for gastric neoplasia of <1cm, requiring less expertise, training and time.

作者信息

Banks Matthew, Uedo Noriya, Bhandari Pradeep, Gotoda Takuji

机构信息

Division of Gastroenterology, University College London Hospitals, NHS Foundation Trust, London, UK

Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.

出版信息

Gut. 2020 Sep;69(9):1. doi: 10.1136/gutjnl-2019-319925. Epub 2019 Oct 5.

DOI:10.1136/gutjnl-2019-319925
PMID:31586933
Abstract
摘要

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1
EMR achieves similar oncological outcomes as ESD for gastric neoplasia of <1cm, requiring less expertise, training and time.对于直径小于1cm的胃肿瘤，内镜黏膜切除术（EMR）与内镜黏膜下剥离术（ESD）的肿瘤学结局相似，且所需的专业技能、培训和时间更少。
Gut. 2020 Sep;69(9):1. doi: 10.1136/gutjnl-2019-319925. Epub 2019 Oct 5.
2
ESD, not EMR, should be the first-line therapy for early gastric neoplasia.内镜黏膜下剥离术（ESD）而非内镜黏膜切除术（EMR）应作为早期胃肿瘤的一线治疗方法。
Gut. 2020 Sep;69(9):1-2. doi: 10.1136/gutjnl-2019-319646. Epub 2019 Sep 3.
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Indications for the use of endoscopic mucosal resection for early gastric cancer in Japan: a comparative study with endoscopic submucosal dissection.日本早期胃癌内镜黏膜切除术的使用指征：与内镜黏膜下剥离术的比较研究
Endoscopy. 2009 Sep;41(9):746-50. doi: 10.1055/s-0029-1215010. Epub 2009 Aug 13.
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A randomised trial of endoscopic submucosal dissection versus endoscopic mucosal resection for early Barrett's neoplasia.早期巴雷特肿瘤内镜下黏膜下剥离术与内镜下黏膜切除术的随机试验
Gut. 2017 May;66(5):783-793. doi: 10.1136/gutjnl-2015-310126. Epub 2016 Jan 22.
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[Efficacy comparison between surgical resection and endoscopic submucosal dissection of early gastric cancer in a domestic single center].[国内单中心早期胃癌手术切除与内镜黏膜下剥离术的疗效比较]
Zhonghua Wei Chang Wai Ke Za Zhi. 2018 Feb 25;21(2):190-195.
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ESD around the world: Europe.全球范围内的内镜黏膜下剥离术：欧洲
Gastrointest Endosc Clin N Am. 2014 Apr;24(2):295-311. doi: 10.1016/j.giec.2013.11.002. Epub 2014 Jan 16.
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Long-term follow-up after endoscopic resection of gastric superficial neoplastic lesions in Portugal.葡萄牙胃浅表性肿瘤病变内镜切除术后的长期随访
Endoscopy. 2014 Nov;46(11):933-40. doi: 10.1055/s-0034-1377348. Epub 2014 Jul 14.
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Management of gastric epithelial neoplasia in patients requiring esophagectomy for esophageal cancer.食管癌患者胃上皮肿瘤的处理。
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Gastric mucosal cancer smaller than 7mm can be treated with conventional endoscopic mucosal resection as effectively as with endoscopic submucosal dissection.小于7毫米的胃黏膜癌采用传统内镜黏膜切除术治疗的效果与内镜黏膜下剥离术相同。
Hepatogastroenterology. 2010 May-Jun;57(99-100):668-73.
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Clinical outcomes of EMR for gastric tumors: historical pilot evaluation between endoscopic submucosal dissection and conventional mucosal resection.胃肿瘤内镜黏膜切除术的临床结果：内镜黏膜下剥离术与传统黏膜切除术的历史前瞻性评估
Gastrointest Endosc. 2006 May;63(6):776-82. doi: 10.1016/j.gie.2005.08.049.

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