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再生医学与组织工程在内镜黏膜下剥离术后预防食管狭窄方面的进展

Progress of esophageal stricture prevention after endoscopic submucosal dissection by regenerative medicine and tissue engineering.

作者信息

Zhou Xian-Bin, Xu Shi-Wen, Ye Li-Ping, Mao Xin-Li, Chen Ya-Hong, Wu Jian-Fen, Cai Yue, Wang Yi, Wang Li, Li Shao-Wei

机构信息

Department of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, LinHai, Zhejiang, China.

Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

Regen Ther. 2021 Feb 3;17:51-60. doi: 10.1016/j.reth.2021.01.003. eCollection 2021 Jun.

DOI:10.1016/j.reth.2021.01.003
PMID:33997185
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8100352/
Abstract

Endoscopic submucosal dissection (ESD) has been widely accepted as an effective treatment for early esophageal cancer. However, post-ESD esophageal stricture remains a thorny issue. We herein review many strategies for preventing post-ESD esophageal stricture, as well as discuss their strengths and weaknesses. These strategies include pharmacological prophylaxis, esophageal stent and tissue engineering and regenerative medicine treatment. In this review, we summarize these studies and discuss the underlying progress and future directions of tissue engineering and regenerative medicine treatment.

摘要

内镜黏膜下剥离术(ESD)已被广泛认可为早期食管癌的有效治疗方法。然而,ESD术后食管狭窄仍然是一个棘手的问题。我们在此回顾了多种预防ESD术后食管狭窄的策略,并讨论了它们的优缺点。这些策略包括药物预防、食管支架以及组织工程和再生医学治疗。在本综述中,我们总结了这些研究,并讨论了组织工程和再生医学治疗的潜在进展及未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdb/8100352/25a180849644/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdb/8100352/5dbc5a8f8f20/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdb/8100352/25a180849644/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdb/8100352/5dbc5a8f8f20/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdb/8100352/25a180849644/gr2.jpg

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Gastrointest Endosc. 2020 Dec;92(6):1176-1186.e1. doi: 10.1016/j.gie.2020.04.070. Epub 2020 May 4.
2
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.
3
聚乙醇酸片治疗食管内镜黏膜下剥离术后食管狭窄的前景
World J Gastrointest Endosc. 2024 Jan 16;16(1):1-4. doi: 10.4253/wjge.v16.i1.1.
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Effect of bladder filling status on positioning errors in post-hysterectomy cervical cancer radiotherapy.膀胱充盈状态对子宫切除术后宫颈癌放疗中定位误差的影响。
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