早期胃癌的内镜下治疗
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王成文, 金松杰
早期胃癌;内镜下黏膜切除术;内镜下黏膜剥离术,王成文,金松杰,通讯作者:,Endoscopictreatmentofearlygastriccancer,Cheng-WenWang,Song-JieJin,Correspondenceto:,Received:,Revise
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王成文, 金松杰, 北京大学深圳医院消化内科 广州省深圳市 518036
通讯作者: 王成文, 518036, 广州省深圳市福田区莲花路1120号, 北京大学深圳医院消化内科. chengwen_@tom.com
收稿日期: 2007-03-13 修回日期: 2007-10-08
Endoscopic treatment of early gastric cancer
Cheng-Wen Wang, Song-Jie Jin
Cheng-Wen Wang, Song-Jie Jin, Department of Gastroenterology, Beijing University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
Correspondence to: Cheng-Wen Wang, Department of Gastroenterology, Beijing University Shenzhen Hospital, 1120 Lianhua Road, Futian District, Shenzhen 518036, Guangzhou Province, China. chengwen_@tom.com
Received: 2007-03-13 Revised: 2007-10-08
Abstract
With the development of endoscopic techniques, more and more early gastric cancers can be treated endoscopically. The history of en-doscopic treatment of early gastric cancer is introduced simply in this article. The cha-racteristics, adaptations and complications associated with this technique are discussed. The method of endoscopic submucosal dissection (ESD) is described, since it is currently the most advanced method with which to treat early gastric cancer under an endoscope.
Key Words: Early gastric cancer; Endoscopic mucosal resection; Endoscopic submucosal dissection
Wang CW, Jin SJ. Endoscopic treatment of early gastric cancer. Shijie Huaren Xiaohua Zazhi 2007; 15(34): 3583-3586
摘要
随着内镜技术的不断进步, 越来越多的早期胃癌可经内镜下治疗. 本文简要地介绍了早期胃癌内镜下治疗的发展史. 重点介绍了目前早期胃癌内镜下治疗最先进的方法-黏膜剥离术的特点、适应征、并发症及处理对策.
关键词: 早期胃癌; 内镜下黏膜切除术; 内镜下黏膜剥离术
王成文, 金松杰. 早期胃癌的内镜下治疗. 世界华人消化杂志 2007; 15(34): 3583-3586
0 引言
随着内镜诊断及治疗技术的不断提高, 越来越多的早期胃癌被发现并在内镜下进行治疗. 由于内镜治疗的微创性, 掌握好适应征可取得与开腹手术一样的治疗效果, 已经引起人们的高度重视. 内镜治疗技术也从内镜下黏膜切除(endoscopic mucosal resection, EMR)更进一步发展为内镜黏膜下层剥离术[1-7](endoscopic submucosal dissection, ESD). 可以预测, 随着医疗水平的提高, 早期胃癌的内镜下治疗将占有更重要的地位. 现将早期胃癌内镜下治疗技术作一综述.
1 内镜下治疗历史
早期胃癌内镜下治疗最初是从息肉切除术开始的 ......
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