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内镜全层切除术、黏膜下隧道内镜切除术和内镜黏膜下剥离术治疗黏膜下病变的研究综述。

A Review of Endoscopic Full-thickness Resection, Submucosal Tunneling Endoscopic Resection, and Endoscopic Submucosal Dissection for Resection of Subepithelial Lesions.

机构信息

Division of Gastroenterology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ.

出版信息

J Clin Gastroenterol. 2021 Apr 1;55(4):309-315. doi: 10.1097/MCG.0000000000001500.

Abstract

Gastrointestinal subepithelial tumors (SETs) are often found while performing routine endoscopy. Recently, there has been the development of new endoscopic techniques such as endoscopic submucosal dissection, submucosal tunnel endoscopic resection, and endoscopic full-thickness resection, all minimally invasive approaches which have made it possible to resect SETs that were previously resected with surgery. This review discusses the endoscopic treatment of patients with SETs, outcomes for endoscopic treatment, procedure-related complications, and advantages and disadvantages of these endoscopic techniques.

摘要

胃肠道黏膜下肿瘤(SETs)在常规内镜检查中经常被发现。近年来,出现了一些新的内镜技术,如内镜黏膜下剥离术、黏膜下隧道内镜切除术和内镜全层切除术,这些微创方法使得以前需要手术切除的 SETs 能够被切除。本文讨论了内镜治疗 SET 患者的情况、内镜治疗的结果、与操作相关的并发症,以及这些内镜技术的优缺点。

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