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Advanced endoscopic submucosal dissection with traction

先进的内镜黏膜下剥离术与牵引

作     者:Hiroyuki Imaeda Naoki Hosoe Kazuhiro Kashiwagi Tai Ohmori Naohisa Yahagi Takanori Kanai Haruhiko Ogata 

作者机构:Department of General Internal MedicineSaitama Medical UniversitySaitama 350-0495Japan Center for Diagnostic and Therapeutic EndoscopySchool of MedicineKeio University108-8345 TokyoJapan Division of Research and Development for Minimally Invasive TreatmentCancer CenterSchool of MedicineKeio University108-8345 TokyoJapan Division of Gastroenterology and HepatologyDepartment of Internal MedicineSchool of MedicineKeio University108-8345 TokyoJapan 

出 版 物:《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志(英文版)(电子版))

年 卷 期:2014年第6卷第7期

页      面:286-295页

学科分类:1002[医学-临床医学] 10[医学] 

主  题:Endoscopic submucosal dissection Traction Early gastric cancer Early esophageal cancer Early colonic cancer 

摘      要:Endoscopic submucosal dissection(ESD)has been established as a standard treatment for early stage gastric cancer(EGC)in Japan and has spread *** has been used not only for EGC but also for early esophageal and colonic ***,ESD is as-sociated with several adverse events,such as bleeding and perforation,which requires more *** tissue tension and clear visibility of the tissue to be dissected are important for effective and safe *** ESD methods using traction have been devel-oped,such as clip-with-line method,percutaneous trac-tion method,sinker-assisted method,magnetic anchor method,external forceps method,internal-traction method,double-channel-scope method,outerroute method,double-scope method,endoscopic-surgical-platform,and robot-assisted *** method has both advantages and *** endos-copy,enabling ESD with a traction method,will become more common due to advances in *** thenear future,simple,noninvasive,and effective ESD us-ing traction is expected to be developed and become established as a worldwide standard treatment for superficial gastrointestinal neoplasias.

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