Application of the clip method, using thread, for duodenal endoscopic mucosal resection.
Application of the clip method, using thread, for duodenal endoscopic mucosal resection.
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DOI：
10.1136/bcr-2016-215677
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发表时间：
2016-04-26
期刊：
影响因子：
0.9
通讯作者：
Yamamoto, Masakazu
中科院分区：
文献类型：
--
作者：
Shirai, Yuji;Ohki, Takeshi;Yamamoto, Masakazu
十二指肠肿瘤的内镜下粘膜切除术（EMR）与因空气引入、肠道蠕动、取出装置插入或内镜手术或标本过大无法通过幽门而导致切除标本丢失的风险相关。如果切除的肿瘤通过十二指肠的第二部分，则丢失肿瘤的可能性很高。在EMR后取回标本对于获得病理结果至关重要。使用线的夹子方法对于食管和胃的内窥镜粘膜下剥离是有用的。我们报告了在十二指肠EMR中使用线夹方法的有效性。
Endoscopic mucosal resection (EMR) of a duodenal tumour is associated with a risk of loss of the resected specimen resulting from air introduction, peristaltic motion of the intestines, insertion of the retrieval device or endoscopic operation, or in cases where the specimen is too large to pass the pylorus. There is a high possibility of losing the tumour if the resected tumour is passed through the second portion of the duodenum. Retrieving a specimen after EMR is essential to obtain a pathological finding. The clip method using thread has been useful for endoscopic submucosal dissection of the oesophagus and stomach. We report the effectiveness of the clip method using thread during duodenal EMR.