Techniques in Gastrointestinal Endoscopy最新文献_第4页

Endoscopic full-thickness resection 内镜全层切除术

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.008

Amrita Sethi MD

引用次数: 0

Endoscopic full-thickness resection 内镜全层切除术

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.007

David Friedel MD , Xiaocen Zhang MD , Rani Modayil MD , Stavros N. Stavropoulos MD

引用次数: 1

Future of full thickness resection – Devices, indications, robotics, what is missing 全层切除的未来-设备，适应症，机器人，缺失的东西

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.010

Philip WY Chiu MD (CUHK), MBChB (CUHK), FRCSEd, FCSHK, FHKAM (Surgery), FASGE

引用次数: 0

Endoscopic full thickness resection: A surgeon's perspective 内镜下全层切除:外科医生的观点

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.001

Beth A. Schrope MD, PhD , Gregory Charak MD, PhD

引用次数: 1

Training and development in endoscopic full thickness resection 内镜全厚度切除术的训练与发展

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.005

Ahmad Najdat Bazarbashi MD, Christopher C. Thompson MD, MHES

引用次数: 1

Diagnostic full thickness resection—Motility disorders, neurologic disorders, and staging of mucosal neoplasms 全层切除诊断-运动障碍、神经障碍和粘膜肿瘤分期

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.006

Gulara Hajiyeva MD , Saowanee Ngamruengphong MD

引用次数: 0

Pathology perspective on endoscopic full thickness resection 内镜下全层切除的病理观察

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.003

Ladan Fazlollahi MD, Helen E. Remotti MD

{"title":"Pathology perspective on endoscopic full thickness resection","authors":"Ladan Fazlollahi MD, Helen E. Remotti MD","doi":"10.1016/j.tgie.2019.03.003","DOIUrl":"10.1016/j.tgie.2019.03.003","url":null,"abstract":"<div><p><span>Recent advances in minimally invasive endoscopic approaches have introduced new resection techniques including the Endoscopic Full Thickness Resection (EFTR) for therapeutic and diagnostic applications. EFTR offers minimally invasive surgery<span> for mucosal or subepithelial lesions that cannot be resected with standard Endoscopic Mucosal Resection<span> or Endoscopic Submucosal Dissection techniques, due to anatomical location or presence of fibrosis (nonlifting epithelial lesions) allowing a safe and effective method to resect the entire gastrointestinal (GI) wall. EFTR is particularly useful for resecting small (<2 cm) subepithelial lesions that arise within the muscular wall that previously required a surgical approach. In addition to therapeutic resections, EFTR biopsies can be diagnostically useful for evaluating a variety of gastrointestinal </span></span></span>neuromuscular diseases as well as diagnosing other inflammatory and neoplastic conditions that involve deeper layers of the gut wall. With refinement in resection techniques and increased experience with EFTR, indications for minimally invasive surgery will increase and a standardized pathologic assessment of these specimens will be incorporated into working practice guidelines.</p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2019.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47144283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Closure methods and devices 闭合方法和装置

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.009

Sergey V. Kantsevoy MD, PhD

{"title":"Closure methods and devices","authors":"Sergey V. Kantsevoy MD, PhD","doi":"10.1016/j.tgie.2019.03.009","DOIUrl":"10.1016/j.tgie.2019.03.009","url":null,"abstract":"<div><p>The last decade of the 20th century and the first 2 decades of the 21st century dramatically changes in the flexible endoscopy<span><span> world. New endoscopic procedures were introduced into clinical practice, stimulating development of new endoscopic devices and techniques and significantly expanding the armamentarium of surgeons and gastroenterologists specializing in therapeutic flexible endoscopy. Through-the-scope endoscopic clips have become an important tissue-approximating instrument, often in combination with PolyLoops. Over-the-scope endoscopic clips demonstrate effectiveness in the closure of gastrointestinal (GI) tract </span>fistulas<span><span> and small iatrogenic perforations. The Overstitch endoscopic suturing system is a versatile tissue-approximating device, which produces effective, reliable, surgical-quality closure of GI tract defects. This device, and other developing endoscopic suturing systems may, eventually become the universal tool for endoscopic correction of fistulas, closure of submucosal tunnels, iatrogenic perforations, mucosal and full-thickness defects postendoscopic resection of </span>GI tract lesions.</span></span></p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2019.03.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55156155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Endoscopic full-thickness resection of early mucosal neoplasms 内镜下早期粘膜肿瘤全层切除术

Techniques in Gastrointestinal Endoscopy Pub Date : 2019-01-01 DOI: 10.1016/j.tgie.2019.03.002

Andreas Wannhoff MD, Karel Caca MD

{"title":"Endoscopic full-thickness resection of early mucosal neoplasms","authors":"Andreas Wannhoff MD, Karel Caca MD","doi":"10.1016/j.tgie.2019.03.002","DOIUrl":"10.1016/j.tgie.2019.03.002","url":null,"abstract":"<div><p>Endoscopic full-thickness resection is a new resection technique that expands the possibilities of endoscopic resection. It is best evaluated for the resection of early mucosal neoplasms in the colorectum but can also be used in the upper gastrointestinal tract. In particular, it enables endoscopic resection in cases of so-called difficult adenomas in the colorectum. This includes resection of nonlifting adenomas and adenomas at difficult locations. Endoscopic full-thickness resection could help avoid surgery in these cases. The Full-Thickness Resection Device is the best-studied system thus far. It has high efficiency and low rate of complication for resection of difficult adenomas. Alternatively, snare resection above a previously-applied clip provides an additional method for endoscopic full-thickness resection. Both techniques have successfully been evaluated in the upper gastrointestinal tract, especially for resection of duodenal adenomas. For the resection of early gastric cancer, combined endoscopic and laparoscopic approaches might offer an alternative treatment for lesions that are not suitable for endoscopic resection alone.</p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2019.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46486715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Submucosal endoscopy 粘膜下层的内窥镜检查

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-10-01 DOI: 10.1016/j.tgie.2018.09.001

Amy L. Holmstrom MD , A. Aziz Aadam MD , Eric S. Hungness MD

{"title":"Submucosal endoscopy","authors":"Amy L. Holmstrom MD , A. Aziz Aadam MD , Eric S. Hungness MD","doi":"10.1016/j.tgie.2018.09.001","DOIUrl":"10.1016/j.tgie.2018.09.001","url":null,"abstract":"<div><p><span><span>Submucosal surgery has emerged over the past decade as a safe and effective treatment for both benign and malignant diseases of the </span>gastrointestinal tract<span><span>. Endoscopic creation of a submucosal tunnel or flap allows for access to various muscular structures as well as en bloc resection of muscle- and mucosa-based lesions. Per oral endoscopic myotomy for the treatment of </span>achalasia is supported by robust data on safety and short-term outcomes with promising long-term outcomes data. Per oral </span></span>pyloromyotomy<span><span> uses the experience gained from per oral endoscopic myotomy in the treatment of gastroparesis, a chronic disease that often proves challenging to effectively treat. A submucosal tunnel or dissection is created to remove tumors of the </span>submucosa<span> in addition to removing early stage cancers of the gastrointestinal tract, providing an alternative to the higher morbidity surgical approaches to resection. Submucosal surgery is an innovative approach to the treatment of a variety of gastrointestinal diseases traditionally treated by open and laparoscopic surgical techniques.</span></span></p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2018.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45192446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5