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首页> 外文期刊>Diagnostic and therapeutic endoscopy >Management of Complications during Gastric Endoscopic Submucosal Dissection
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Management of Complications during Gastric Endoscopic Submucosal Dissection

机译：胃镜下黏膜下剥离术中并发症的处理

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Popularity of endoscopic submucosal dissection (ESD) has shown an increase during the last decade, and may, for the time being, be the most important technique in treatment of early gastrointestinal cancer or a premalignant lesion. This technique has advantages in the aspect of en bloc resection, which enables evaluation of the completeness of resection and other pathologic characteristics; however, it has limitation in terms of complications, compared to endoscopic mucosal resection (EMR). Bleeding and perforation are the most common complications encountered during the procedure. These complications can cause embarrassment for the endoscopist and hamper performance of the procedure, which can result in an incomplete resection. To overcome these obstacles during performance of the procedure, we should be familiar with management of complications. In particular, beginners who start performing ESD should have full knowledge of and be in good handling of the method of hemostasis using hemoclips or electrocoagulation for management of complications. Various methods, procedures, and equipment are under development, which will provide us with powerful tools for achievement of successful ESD without complications in the near future.
机译：内窥镜下黏膜下剥离术（ESD）的普及在最近十年中有所增加，并且可能暂时成为治疗早期胃肠道癌或癌前病变的最重要技术。该技术在整体切除方面具有优势，可以评估切除的完整性和其他病理特征。但是，与内窥镜黏膜切除术（EMR）相比，它在并发症方面有局限性。出血和穿孔是手术过程中最常见的并发症。这些并发症可能会使内镜医师感到尴尬并妨碍手术的进行，从而可能导致切除不彻底。为了克服执行过程中的这些障碍，我们应该熟悉并发症的处理。特别是，开始执行ESD的初学者应充分了解并熟练掌握使用止血钳或电凝治疗并发症的止血方法。各种方法，程序和设备正在开发中，这将为我们提供强大的工具，以在不远的将来实现成功的ESD而不会带来任何麻烦。

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