Nishimori I, Morita M, Sano S, Kino-Ohsaki J, Kohsaki T, Suenaga K, Yokoyama Y, Onishi S, Sugimoto T, Araki K
First Dept. of Internal Medicine, Kochi Medical School, Nankoku City, Japan.
Endoscopy. 1997 Mar;29(3):214-7. doi: 10.1055/s-2007-1004167.
Endoscopic resection techniques using snare polypectomy with or without submucosal saline injection have also been applied to resect smaller duodenal carcinoid tumors. We report on two patients where endoluminal ultrasound using a small diameter probe was used to visualize the adherence of the carcinoids to the underlying wall layers and the separating effect of subtumoril saline injection. One patient, in whom a clear separation between the tumor and the underlying tissue after saline injection was visualized, underwent successful endoscopic resection. In the other patient no clear separation could be achieved after saline injection and the patient underwent surgical removal of his tumor; both tumors were 1 cm or less in their maximal diameter.
使用圈套息肉切除术并联合或不联合黏膜下注射生理盐水的内镜切除技术也已应用于切除较小的十二指肠类癌肿瘤。我们报告了两例患者，其中使用小直径探头的腔内超声来观察类癌与下层壁层的粘连情况以及瘤下注射生理盐水的分离效果。其中一例患者在注射生理盐水后可见肿瘤与下层组织明显分离，成功接受了内镜切除。另一例患者在注射生理盐水后未能实现明显分离，接受了肿瘤手术切除；两个肿瘤的最大直径均为1厘米或更小。
