内镜黏膜下剥离术和内镜全层切除术治疗结肠息肉
Colon Polypectomy with Endoscopic Submucosal Dissection and Endoscopic Full-Thickness Resection.
机构信息
Section of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, 800 Stanton L Young Boulevard, Oklahoma City, OK 73104, USA.
Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, MN 55455, USA.
出版信息
Gastrointest Endosc Clin N Am. 2022 Apr;32(2):277-298. doi: 10.1016/j.giec.2021.12.005.
Endoscopic resection has become the gold standard for the management of most of the large colorectal polyps. Various endoscopic resection techniques include endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR). ESD is a minimally invasive method for the resection of advanced lesions in the gastrointestinal (GI) tract to achieve en-bloc resection. While, EFTR is more commonly used in lesions with suspected deeper submucosal invasion, lesions originating from muscularis propria, or those with advanced fibrosis. This article reviews the indications, technique, and adverse events for use of ESD and EFTR in the colon.
内镜下切除已成为大多数大肠息肉的治疗金标准。各种内镜下切除技术包括内镜黏膜切除术（EMR）、内镜黏膜下剥离术（ESD）和内镜全层切除术（EFTR）。ESD 是一种微创方法，用于切除胃肠道（GI）道中的晚期病变，以实现整块切除。而 EFTR 更常用于怀疑有更深层黏膜下浸润、起源于固有肌层的病变，或有晚期纤维化的病变。本文综述了 ESD 和 EFTR 在结肠中的适应证、技术和不良事件。
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