Endoscopic Mucosal Resection for Early Gastric Cancer: Aiming at Safety, Speed, and Reliability
Endoscopic Mucosal Resection for Early Gastric Cancer: Aiming at Safety, Speed, and Reliability
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早期胃癌的内镜粘膜切除术：以安全、速度和可靠性为目标
DOI：
10.1046/j.1443-1661.15.s.3.x
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
H. Tajiri
中科院分区：
文献类型：
--
作者：
J. Fujisaki;K. Matsuda;H. Tajiri
我们评估了早期胃癌内镜粘膜切除术（EMR）的非边缘手术技术，以“双通道”法和抽吸法为代表，以及边缘手术技术，以“绝缘头”（IT）和“高盐水肾上腺素内镜切除术”（ERHSE）法为代表，并回顾了文献中的病例和我们自己的病例，从并发症和每种方法治疗的持续时间的角度来看。3.6-4.5%的非切缘手术技术治疗病例和17%的切缘手术技术治疗病例发生出血。仅0.3%的采用非切缘手术技术治疗的病例发生穿孔，而采用切缘手术技术治疗的病例发生穿孔的比例为6.7%。使用新型治疗镜（多弯镜）进行EMR的结果表明，其可用于获得胃体小弯的直接正面视图，并且使用时一次性完全切除率增加。
We assessed the non‐marginating surgical techniques of endoscopic mucosal resection (EMR) for early gastric cancer, represented by the ‘double‐channel’ method and the suction method, and the marginating surgical techniques, represented by the ‘insulation tip’ (IT) and the ‘endoscopic resection with high saline epinephrine’ (ERHSE) methods, and reviewed cases in the literature and our own cases from the standpoint of complications and duration of therapy with each method. Bleeding occurred in 3.6–4.5% of the cases treated by the non‐marginating surgical techniques and 17% of the cases treated by the marginating surgical techniques. Perforation occurred in only 0.3% of the cases treated by the non‐marginating surgical techniques, as opposed to 6.7% of the cases treated by the marginating surgical techniques. The results of EMR with a new type of therapeutic scope, the multi‐bending scope, showed that it was useful for obtaining a direct en face view of the lesser curvature of the body of the stomach, and an increase in the rate of one‐time complete resection was seen when it was used.