A New Technique for Endoscopic Esophageal Mucosectomy Using a Transparent Overtube with Intraluminal Negative Pressure (np‐EEM)

A New Technique for Endoscopic Esophageal Mucosectomy Using a Transparent Overtube with Intraluminal Negative Pressure (np‐EEM)
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使用腔内负压透明外套管进行内镜食管粘膜切除术的新技术 (np-EEM)

DOI:
10.1111/j.1443-1661.1991.tb00512.x
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发表时间:
1991
影响因子:
5.3
通讯作者:
M. Endo
M. Endo
中科院分区:
医学2区
文献类型:
--
作者:
T. Kawano;S. Miyake;M. Yasuno;S. Takamatsu;S. Katoh;Hiroshi Nakamura;K. Sugihara;M. Hatano;K. Yoshino;K. Takeshita;H. Inoue;Akinaga Yamagiwa;M. Endo

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摘要:我们设计了一种使用透明外管(OT)腔内负压(NP-EEM)进行内窥镜下食道黏膜切除术的新技术(图1,2)。对6只狗进行了基础研究。在NP-EEM技术中,采用了以下两种方法:(1)采用“圈套”法,即食道黏膜像息肉一样突出,穿过OT的狭缝,并通过内窥镜活检通道或OT的注射通道用电子陷阱切除。高频电流用于切除(图2-a2-b,图3,彩色)。(2)采用“切割法”,用新近研制的电切割器切除粘膜突起(图2-a、2-c、2-d,图3,颜色)。
Abstract: We devised a new technique for endoscopic esophageal mucosectomy using a transparent overtube (OT) with intraluminal negative pressure (np‐EEM) (Figs. 1,2). Basic studies were performed on six dogs. The following two methods were utilized in the np‐EEM technique in line with standard approaches used for mucosal resection: (1) A “snare” method was used in which the esophageal mucosa protruded, similar to a polyp, through the slit of the OT and was resected by an electro‐snare passing through the endoscope biopsy channel or the injection channel of the OT. A high‐frequency current was used for the resection (Figs. 2‐a 2‐b, Fig. 3, Color). (2) A “cutter” method was used in which the mucosal protrusion was resected by a recently developed electro‐cutter (Figs. 2‐a, 2‐c, 2‐d, Fig. 3, Color).