Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Florida, Weston, FL, 33331, USA.
Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Florida, Weston, FL, 33331, USA.
Surg Oncol. 2022 Aug;43:101742. doi: 10.1016/j.suronc.2022.101742. Epub 2022 Mar 18.
Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are two well-known endoscopic resection procedures used for advance gastrointestinal lesions. As compared to standard polypectomy techniques, EMR and ESD provide wider and deeper resection margins and allow en bloc removal of lesions for more detailed pathology with curative intent for early neoplastic gastrointestinal lesions. Both procedures have their advantages and disadvantages which will be discussed in detail in this review article. Recently there have been advancements in the techniques of EMR and ESD with addition in new equipment. We will also discuss current guidelines recommending use of EMR and/or ESD in various clinical scenarios.
内镜黏膜切除术（EMR）和内镜黏膜下剥离术（ESD）是两种用于治疗进展期胃肠道病变的知名内镜下切除方法。与标准的息肉切除术技术相比，EMR 和 ESD 可提供更宽和更深的切除边缘，并允许整块切除病变，以便进行更详细的病理学检查，从而达到早期肿瘤性胃肠道病变的治愈目的。这两种方法都有其优缺点，本文将详细讨论。最近，EMR 和 ESD 技术有了新的进展，新增了一些设备。我们还将讨论目前推荐在各种临床情况下使用 EMR 和/或 ESD 的指南。
