Misumi Yoshitsugu, Nonaka Kouichi
Department of Digestive Endoscopy, Tokyo Women's Medical University Hospital, 8-1, Tokyo 162-8666, Japan.
J Clin Med. 2021 Jun 6;10(11):2511. doi: 10.3390/jcm10112511.
Endoscopic submucosal dissection (ESD) is considered superior to endoscopic mucosal resection as an endoscopic resection because of its higher en bloc resection rate, but it is more difficult to perform. As ESD techniques have become more common, and the range of treatment by ESD has expanded, the number of possible complications has also increased, and endoscopists need to manage them. In this report, we will review the management of critical complications, such as hemorrhage, perforation, and stenosis, and we will also discuss educational methods for acquiring and improving ESD skills.
内镜黏膜下剥离术(ESD)作为一种内镜切除术,因其整块切除率更高,被认为优于内镜黏膜切除术,但操作起来更困难。随着ESD技术越来越普遍,ESD的治疗范围不断扩大,可能出现的并发症数量也有所增加,内镜医师需要对其进行处理。在本报告中,我们将回顾对诸如出血、穿孔和狭窄等严重并发症的处理,还将讨论获得和提高ESD技术的教育方法。