Endoscopic mucosal resection in the management of esophageal neoplasia: current status and future directions.
Endoscopic mucosal resection in the management of esophageal neoplasia: current status and future directions.
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DOI：
10.1016/j.cgh.2010.05.030
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发表时间：
2010-09
影响因子：
12.6
通讯作者：
Prasad, Ganapathy A.
中科院分区：
文献类型：
--
作者：
Namasivayam, Vikneswaran;Wang, Kenneth K.;Prasad, Ganapathy A.
内镜粘膜切除术扩大了胃肠病学家在食管肿瘤治疗中的作用，从筛查和诊断到分期和内镜治疗。它的崛起是一个突出的反映，长期以来确定需要获得组织学信息的浸润深度和肿瘤的边缘在治疗过程中，以前无法实现与消融技术。由此产生的诊断和分期的改善，允许更好地选择患者进行内镜治疗，谁可以节省侵入性手术。本文综述了食管肿瘤的临床适应证、内镜技术、治疗结果和并发症。培训要求，以达到熟练的电子病历，以及潜在的质量措施，以评估能力也提出了在这次审查。
Endoscopic mucosal resection has expanded the role of the gastroenterologist in the management of esophageal neoplasia from screening and diagnosis to staging and endoscopic treatment. Its rise to prominence is a reflection of the long identified need to obtain histological information regarding depth of invasion and neoplastic margins during therapy that previously could not be achieved with ablative techniques. The resultant improvement in diagnosis and staging has allowed for better selection of patients for endoscopic therapy who may be spared invasive surgery. The clinical indications, endoscopic techniques, outcomes and complications in the management of esophageal neoplasia are reviewed in this manuscript. Training requirements to achieve proficiency in EMR as well as potential quality measures to assess competence are also proposed in this review.
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