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首页> 外文期刊>Surgical Endoscopy >Endoscopic resection of gastrointestinal submucosal tumors assisted by endoscopic ultrasonography.
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Endoscopic resection of gastrointestinal submucosal tumors assisted by endoscopic ultrasonography.

机译：内镜超声辅助内镜切除胃肠道粘膜下肿瘤。

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摘要

BACKGROUND: The resection and histologic examination of the lesions is generally considered the treatment of choice in order to achieve diagnosis in gastrointestinal submucosal tumors. Moreover, the degree of malignancy of the tumor depends on certain features that can only be studied on the entire resected piece. METHODS: We revised the cases of patients who underwent endoscopic resection of gastrointestinal submucosal tumors in the period from 1997 through 2002. RESULTS: Fifty submucosal lesions were resected in 45 patients (64.4% men). Patient mean age was 55.31 years. Of the lesions, 52% were gastric tumors and 88% were located in the second layer. Mean size was 12.34 mm, and 54% were smaller than 10 mm. Resection with submucosal injection of saline solution and diluted adrenaline was performed on 46% of the lesions, and standard resection using polypectomy snare on 48%. Ligation was used in three cases. Resection was successful in 98% and major complications were observed in 4% (two cases of bleeding, endoscopically resolved). CONCLUSIONS: The endoscopic resection of submucosal tumors is a safe and efficient technique: It has few associated complications and allows diagnosis in all the cases and cure of the lesion in the great majority of cases.
机译：背景：病变的切除和组织学检查通常被认为是选择治疗方法，以实现对胃肠道粘膜下肿瘤的诊断。此外，肿瘤的恶性程度取决于某些特征，这些特征只能在整个切除的切片上进行研究。方法：我们修订了1997年至2002年期间接受内窥镜检查消化道粘膜下肿瘤的病例。结果：在45例患者中切除了50例粘膜下病变（男性占64.4％）。患者平均年龄为55.31岁。在病变中，有52％是胃肿瘤，有88％位于第二层。平均尺寸为12.34毫米，其中54％的尺寸小于10毫米。黏膜下注射盐水溶液和稀释的肾上腺素对46％的病灶进行切除，而对48％的息肉切除网罗进行标准切除。在三种情况下使用结扎术。切除成功率达98％，主要并发症发生率达4％（2例出血，经内镜检查可解决）。结论：内镜下黏膜下肿瘤切除术是一种安全有效的技术：它几乎没有相关并发症，可以在所有情况下进行诊断，并且在大多数情况下可以治愈。

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