Motohashi O, Sano H, Takagi S, Kiyohashi A, Ohkawa S, Tamai S, Tarao K
Department of Gastroenterology, Kanagawa Cancer Center.
Nihon Shokakibyo Gakkai Zasshi. 1995 Aug;92(8):1113-20.
We confirmed a new reliable and safe technique for endoscopic mucosal resection of the stomach using a ligating device (EMRL), which was used for endoscopic ligation of esophageal varices. We resected the gastric mucosa by this procedure in 6 mongrel dogs, and examined resected specimens histopathologically. It is concluded that EMRL can take a mucosal specimen 15 x 12mm in size on the average, be performed almost all the site which was previously difficult to resect endoscopically, and the submucosal local injection of physiological saline solution is necessary to perform EMRL. Based on these conclusion, we experimented to establish the safe and reliable technique of the divided mucosal resection, too. EMRL procedure is an easy and valuable treatment modality.
我们证实了一种使用结扎装置进行胃内镜黏膜切除术（EMRL）的新的可靠且安全的技术，该装置曾用于食管静脉曲张的内镜结扎。我们用此方法对6只杂种犬的胃黏膜进行了切除，并对切除标本进行了组织病理学检查。得出的结论是，EMRL平均可获取大小为15×12mm的黏膜标本，几乎可在以前难以内镜切除的所有部位进行操作，并且进行EMRL时需要在黏膜下局部注射生理盐水溶液。基于这些结论，我们也尝试建立了安全可靠的分段黏膜切除技术。EMRL手术是一种简便且有价值的治疗方式。
