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早期食管癌内镜下黏膜下剥离术后食管狭窄防治进展

Advances in the Prevention and Treatment of Esophageal Stricture after Endoscopic Submucosal Dissection of Early Esophageal Cancer.

作者信息

Zhang Yue, Zhang Baozhen, Wang Yidan, Zhang Jingjing, Wu Yufan, Xiao Tingyue, Liao Ye, Bao Yiwen, Qiu Hongyu, Sun Siyu, Guo Jintao

机构信息

Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.

出版信息

J Transl Int Med. 2020 Sep 25;8(3):135-145. doi: 10.2478/jtim-2020-0022. eCollection 2020 Sep.

DOI:10.2478/jtim-2020-0022
PMID:33062589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7534493/
Abstract

Endoscopic submucosal dissection (ESD) has become the main treatment for early esophageal cancer. While treating the disease, ESD may also cause postoperative esophageal stricture, which is a global issue that needs resolution. Various methods have been applied to resolve the problem, such as mechanical dilatation, glucocorticoids, anti-scarring drugs, and regenerative medicine; however, no standard treatment regimen exists. This article describes and evaluates the strengths and limitations of new and promising potential strategies for the treatment and prevention of esophageal strictures.

摘要

内镜下黏膜剥离术(ESD)已成为早期食管癌的主要治疗方法。在治疗该疾病时,ESD也可能导致术后食管狭窄,这是一个需要解决的全球性问题。人们已应用多种方法来解决这一问题,如机械扩张、糖皮质激素、抗瘢痕药物和再生医学;然而,目前尚无标准的治疗方案。本文描述并评估了治疗和预防食管狭窄的新的、有前景的潜在策略的优势和局限性。

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本文引用的文献

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Prophylactic steroid administration against strictures is not enough for mucosal defects involving the entire circumference of the esophageal lumen after esophageal endoscopic submucosal dissection (ESD).预防性类固醇给药对于食管内镜黏膜下剥离(ESD)后累及食管腔整个圆周的黏膜缺损是不够的。
Esophagus. 2020 Oct;17(4):440-447. doi: 10.1007/s10388-020-00730-z. Epub 2020 Mar 14.
2
The Effect of Thymosin beta4 on the Survival of Autologous Fat Grafting: A Preliminary Study.胸腺肽β4 对自体脂肪移植存活率的影响:初步研究。
Aesthet Surg J. 2020 Aug 14;40(9):NP519-NP529. doi: 10.1093/asj/sjaa062.
3
Endoscopic radial incision method for two strictures of the esophagus after endoscopic submucosal dissection: a case report.内镜下经黏膜切开术后食管两处狭窄的内镜下放射状切开法:一例报告。
World J Surg Oncol. 2020 Feb 13;18(1):38. doi: 10.1186/s12957-020-01812-z.
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The Role of Endoscopic Ultrasound and Endoscopic Resection for Gastric Glomus: A Case Series and Literature Review.内镜超声及内镜切除术在胃血管球瘤中的作用:病例系列报道及文献综述
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Lesion size and circumferential range identified as independent risk factors for esophageal stricture after endoscopic submucosal dissection.病变大小和环周范围被确定为内镜黏膜下剥离术后食管狭窄的独立危险因素。
Surg Endosc. 2020 Sep;34(9):4065-4071. doi: 10.1007/s00464-020-07368-z. Epub 2020 Jan 17.
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