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The Role of Endosonography in the Staging of Gastrointestinal Cancers

机译:超声心动图在胃肠道癌分期中的作用

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摘要

Endosonography (EUS) enables the acquisition of clear images of the gastrointestinal tract wall and the surrounding structures. EUS enables much greater accuracy for staging decisions compared to computed tomography. Surgery for esophageal cancer has a high rate of morbidity and mortality, and it is important to decide on an appropriate treatment method through pre-surgical evaluation. Minimal invasive surgery is widely used for the treatment of gastrointestinal cancer, and endoscopic submucosal dissection is a safe treatment method for early cancer of the gastrointestinal tract that does not result in lymph node metastasis. EUS is essential for pre-surgical evaluation for all esophageal cancers. The use of EUS can effectively reduce unnecessary surgeries and thereby allow for appropriate treatment planning for patients. A number of different diagnostic modalities are available, but EUS is still the mainstay for pre-surgical evaluation of esophageal cancer. The role of EUS for early stomach cancer treatment as a tool for determining the need for endoscopic resection and for pre-surgical assessment is increasing.
机译:超声内窥镜检查(EUS)可获取胃肠道壁和周围结构的清晰图像。与计算机断层扫描相比,EUS可以使分期决策的准确性更高。食道癌手术的发病率和死亡率很高,因此重要的是通过术前评估来决定合适的治疗方法。微创外科手术被广泛用于胃肠道癌的治疗,内镜下黏膜下剥离术是早期治疗胃肠道癌的一种安全方法,不会导致淋巴结转移。 EUS对于所有食道癌的术前评估至关重要。使用EUS可以有效减少不必要的手术,从而为患者制定适当的治疗计划。可以使用多种不同的诊断方式,但是EUS仍是食道癌手术前评估的主要手段。 EUS在早期胃癌治疗中作为确定是否需要内镜切除和进行术前评估的工具的作用正在增加。

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