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挽救性内镜黏膜下剥离术治疗食管或胃肿瘤切除不完全（病例系列）

Salvage endoscopic submucosal dissection for incompletely resected esophageal or gastric neoplasms (case series).

作者信息

Kinoshita Satoshi, Nishizawa Toshihiro, Ochiai Yasutoshi, Fujimoto Ai, Takabayashi Kaoru, Kato Motohiko, Goto Osamu, Maehata Tadateru, Yahagi Naohisa, Uraoka Toshio

机构信息

Department of Gastroenterology, National Hospital Organization Tokyo Medical Center.

Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine.

出版信息

Endosc Int Open. 2020 Jan;8(1):E20-E24. doi: 10.1055/a-0998-3917. Epub 2020 Jan 8.

DOI:10.1055/a-0998-3917
PMID:31921980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6949167/
Abstract

Given that positive lateral margins indicate possible residual carcinoma, salvage endoscopic submucosal dissection (ESD) should be considered for curative therapy. Presence of submucosal fibrosis, however, makes the procedure difficult to perform. We present our case series to discuss the feasibility of salvage ESD and the timing of the procedure.

摘要

鉴于切缘阳性提示可能存在残留癌，应考虑采用挽救性内镜黏膜下剥离术（ESD）进行根治性治疗。然而，存在黏膜下纤维化会使该手术难以实施。我们展示我们的病例系列以讨论挽救性ESD的可行性及手术时机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c7f/6949167/6ae77641be06/10-1055-a-0998-3917-i1469ei3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c7f/6949167/8eeccbac4b91/10-1055-a-0998-3917-i1469ei1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c7f/6949167/34da667485f4/10-1055-a-0998-3917-i1469ei2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c7f/6949167/6ae77641be06/10-1055-a-0998-3917-i1469ei3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c7f/6949167/8eeccbac4b91/10-1055-a-0998-3917-i1469ei1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c7f/6949167/34da667485f4/10-1055-a-0998-3917-i1469ei2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c7f/6949167/6ae77641be06/10-1055-a-0998-3917-i1469ei3.jpg

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Curr Opin Gastroenterol. 2017 Sep;33(5):315-319. doi: 10.1097/MOG.0000000000000388.
3
The submucosal fibrosis: what does it mean for colorectal endoscopic submucosal dissection?
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Intest Res. 2016 Oct;14(4):358-364. doi: 10.5217/ir.2016.14.4.358. Epub 2016 Oct 17.
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Factors affecting the technical difficulty and clinical outcome of endoscopic submucosal dissection for colorectal tumors.影响大肠肿瘤内镜下黏膜下剥离术技术难度及临床结局的因素。
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Endoscopy. 2014 Apr;46(4):273-8. doi: 10.1055/s-0034-1364938. Epub 2014 Feb 6.
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