Inoue M, Shiozaki H, Tamura S, Monden M
Department of Surgery II, Osaka University Medical School.
Nihon Rinsho. 1996 May;54(5):1286-91.
'xcently, a new method of endoscopic mucosal resection (EMR) for early esophageal cancer has been developed with the advance of the endoscopic equipment. There are three methods for EMR, one is 2 channel method, the second is EMR using over-tube and the third is EMR using cap-fitted panendoscope. Using a new type of over-tube (EEMR-tube) for EMR, which was designed by Makuuchi, esophageal mucosal lesions can be resected easily and certainly. It is thought that the indication of EMR for early esophageal cancer is the lesion limited to the muscularis mucosae. Large ulcers by endoscopic mucosal resection will disappear without any stenotic change within two months. We think that EMR is a useful technique for the treatment of early esophageal cancer because of keeping quality of life of patients and capability of histological findings.
最近，随着内镜设备的进步，一种用于早期食管癌的内镜黏膜切除术（EMR）新方法得以开发。EMR有三种方法，一种是双通道法，第二种是使用外套管的EMR，第三种是使用带帽全结肠镜的EMR。使用由幕内设计的新型外套管（EEMR管）进行EMR，食管黏膜病变能够轻松且确切地被切除。早期食管癌EMR的指征被认为是病变局限于黏膜肌层。内镜黏膜切除术后的大溃疡在两个月内会消失且无任何狭窄改变。我们认为EMR是一种治疗早期食管癌的有用技术，因为它能保持患者的生活质量并具备获取组织学结果的能力。
