粘膜下注射液和纹身剂。

IF 6.7 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gastrointestinal endoscopy Pub Date : 2024-11-01 DOI:10.1016/j.gie.2024.07.002

ASGE Technology Committee, Amit Bhatt MD , Juan Carlos Bucobo MD, FASGE , Maaza Abdi MD , Venkata S. Akshintala MD , Dennis Chen MD , Yen-I Chen MD , Andrew P. Copland MD , Koushik K. Das MD, FASGE , David J. Desilets MD, PhD, FASGE , Mohit Girotra MD , Samuel Han MD, MS , Allon Kahn MD , Kumar Krishnan MD, FASGE , Galen Leung MD , David R. Lichtenstein MD, FASGE , Girish Mishra MD, MSc, FASGE , V. Raman Muthusamy MD, MAS, FASGE , Jorge V. Obando MD , Frances U. Onyimba MD , Ryan Law DO

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引用次数: 0

摘要

背景和目的：EMR和内镜黏膜下剥离术（ESD）是微创内镜技术，用于切除消化道良性和早期恶性病变。粘膜下注射标记剂有助于在手术中识别病灶。内窥镜切除术经常需要在粘膜下间隙注射一种物质来 "提升 "病灶，为安全切除病灶创造一个缓冲。本综述总结了目前用于内镜标记和提升消化道病变的技术和药剂：方法：使用 "内窥镜 "或 "内窥镜 "等关键词，结合 "标记"、"纹身 "和 "提升"，检索 MEDLINE 数据库中与 EMR 提升和标记方面相关的文章，检索期至 2023 年 4 月。该报告由美国消化内镜学会技术委员会起草、审查和编辑，并经美国消化内镜学会理事会批准：本技术综述介绍了内镜下纹身置入和粘膜下提升的技术，以及目前可用的药剂、安全性和成本：结论：进行 EMR 和 ESD 的内镜医师在黏膜下注射材料提拉和纹身标记剂方面有多种选择。这些材料可能是商业制备的制剂，也可能是现成的材料，有的带有添加剂，有的没有添加剂，以促进可视化。在选择合适的材料和技术以优化 EMR 和 ESD 中的病灶切除时，有必要全面了解各种药剂的适应症、技术、特性、成本和不良反应。

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Submucosal injection fluid and tattoo agents

Background and Aims

EMR and endoscopic submucosal dissection (ESD) are minimally invasive endoscopic techniques, developed for the removal of benign and early malignant lesions throughout the GI tract. Submucosal injection of a marking agent can help to identify lesions during surgery. Endoscopic resection frequently involves “lifting” of the lesions by injection of a substance within the submucosal space to create a cushion for safe resection. This review summarizes the current techniques and agents available for endoscopic marking and lifting of GI tract lesions.

Methods

The MEDLINE database was searched through April 2023 for relevant articles related to the lifting and marking aspect of EMR by using key words such as “endoscopy” or “endoscopic” combined with “marking,” “tattoo,” and “lifting.” The report was drafted, reviewed, and edited by the American Society for Gastrointestinal Endoscopy Technology Committee and approved by the Governing Board of the American Society for Gastrointestinal Endoscopy.

Results

This technology review describes the techniques for endoscopic tattoo placement and submucosal lifting, along with currently available agents, safety, and costs.

Conclusions

Endoscopists performing EMR and ESD have several choices in submucosal injection materials for lifting and marking agents for tattoos. These may be commercially prepared agents or off-the-shelf materials with or without additives to facilitate visualization. A thorough understanding of the indications, techniques, properties of various agents, costs, and adverse events is necessary in choosing the appropriate materials and technique to optimize lesion resection in EMR and ESD.

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来源期刊

Gastrointestinal endoscopy 医学-胃肠肝病学

CiteScore

10.30

自引率

7.80%

发文量

1441

审稿时长

38 days

期刊介绍： Gastrointestinal Endoscopy is a journal publishing original, peer-reviewed articles on endoscopic procedures for studying, diagnosing, and treating digestive diseases. It covers outcomes research, prospective studies, and controlled trials of new endoscopic instruments and treatment methods. The online features include full-text articles, video and audio clips, and MEDLINE links. The journal serves as an international forum for the latest developments in the specialty, offering challenging reports from authorities worldwide. It also publishes abstracts of significant articles from other clinical publications, accompanied by expert commentaries.