摘要
内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)是在内镜下黏膜切除术(endoscopic mucosal resection,EMR)基础上发展起来的一项诊治技术。目前ESD已被广泛应用于消化道早癌的治疗。ESD的优势在于存在较高的整块切除率和完整切除率。然而,由于这项技术存在较高的技术难度和较长的操作时间,使得ESD并发症发生率更高。ESD常见的并发症包括出血、穿孔、狭窄。充分了解ESD相关并发症、并能够及时有效地处理这些并发症,对于成功施行ESD非常重要。
Endoscopic submucosal disscction（ ESD） is a diagnosis and treatment technique based on endoscopic mucosal resection（EMR）. At present,ESD is widely used in the treatment for early digestive tract cancer. Theadvantage of ESD is the ability of excising lesions completely. But, this technique presents the higher technology difficulty and needs longer operating time,so the incidence rate of complications became higher. The usual complication includes bleeding,perforation and stricture. Realizing these complications completely and treat themeffectively in time is very important for successful ESD.
作者
刘勇
王贵齐
LiuYong-Wang(GuiqiNational Cancer Center!Cancer Hospital, Chinese Academy o f Medical Sciences and Peking Union Medical Colledge , Beijing 100021 , China)
出处
《临床荟萃》
CAS
2017年第11期921-924,共4页
Clinical Focus
基金
十三五重大慢性非传染性疾病防控研究:消化道恶性肿瘤(食管癌
胃癌
大肠癌)高危人群识别及高危人群预防研究(2016YFC1302801)
关键词
消化系统肿瘤
内镜黏膜下剥离术
并发症
出血
穿孔
狭窄
digestive system neoplasms
endoscopic submucosal dissection
complication
bleeding
perforation
stricture
