Application of endoscopic mucosal resection,clip suture and adjuvant diagnostic techniques in the management of colonic neoplasms
- VernacularTitle:内镜下黏膜切除、夹子缝合和特殊检查在大肠肿瘤处理中的应用
- Author:
Ping YIN
;
Yirong YAO
;
Wenming BAO
- Publication Type:Journal Article
- Keywords:
Large bowel tumor;
Endoscopic mucosal resectiom;
Endoscopic piecemeal mucosal resection;
Clip suture;
Magnifying endoscopy;
Ultrasonicprobe
- From:
Chinese Journal of Digestion
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
2 cm) according to the size of lesions. Large wound sections were sutured with metal clips. Results Histopathologic investigation showed that among 54 lesions,there were 13 cases of adenoma,38 cases of adenoma with atypical hyperplasia (10 cases with mild dysplasia,23 with moderate dysplasia and 5 with severe dysplasia )and 3 cases of mucosal cancer. We followed forty cases,local recurrence was found in none of 29 cases after 6 months of EMR. However,the recurrence was found in 2 of 11 cases after 1 month of EPMR and 1 each after 3 and 6 month of EPMR. There was no recurrence after further endoscopic re-treatment. Among 3 cancer patients,2 patients shifted to surgery due to patient's preference and 1 patient was followed up for 6 months. All of them were found without local recurrence by endoscopic biopsies or surgical results. Conclusions Chromoscopy,magnifying colonoscopy and EUS have benefits in diagnosis of early large bowel tumors,and it is also helpful in selecting the proper treatment so as to reduce the complication and recurrence.
