{"title":"水下内镜下十二指肠大腺瘤粘膜切除术(视频)","authors":"Mary M. Flynn, Andrew Y. Wang","doi":"10.1016/j.vjgien.2015.02.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and aims</h3><p>Endoscopic mucosal resection (EMR) is a well-established method for the removal of neoplastic polyps throughout the GI tract. EMR typically involves insufflation of the lumen using air or CO<sub>2</sub>, followed by submucosal lifting of a polyp to minimize the risk of deep tissue injury and perforation, followed by hot-snare polypectomy. Underwater endoscopic mucosal resection (UEMR) is a new technique that uses water to enable lesion visualization in a lumen that is not distended by air or CO<sub>2</sub>, followed by piecemeal hot-snare resection of large mucosally-based neoplasms. UEMR does not require submucosal injection to create a fluid cushion. Very few published examples of UMER in the duodenum exist. This video case series describes the use of UEMR for the resection of several large duodenal adenomas.</p></div><div><h3>Procedure</h3><p>Underwater endoscopic mucosal resection was utilized for the removal of several large duodenal adenomas.</p></div><div><h3>Results</h3><p>Three duodenal lesions ranging from 1.8<!--> <!-->cm to 5<!--> <!-->cm were successfully resected by UEMR. The mean time for resection was 18<!--> <!-->min. There were no adverse events.</p></div><div><h3>Conclusions</h3><p>UEMR is an efficacious technique for the resection of large mucosally-based neoplasms of the duodenum.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2015.02.002","citationCount":"6","resultStr":"{\"title\":\"Underwater Endoscopic Mucosal Resection of Large Duodenal Adenomas (Video)\",\"authors\":\"Mary M. Flynn, Andrew Y. Wang\",\"doi\":\"10.1016/j.vjgien.2015.02.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background and aims</h3><p>Endoscopic mucosal resection (EMR) is a well-established method for the removal of neoplastic polyps throughout the GI tract. EMR typically involves insufflation of the lumen using air or CO<sub>2</sub>, followed by submucosal lifting of a polyp to minimize the risk of deep tissue injury and perforation, followed by hot-snare polypectomy. Underwater endoscopic mucosal resection (UEMR) is a new technique that uses water to enable lesion visualization in a lumen that is not distended by air or CO<sub>2</sub>, followed by piecemeal hot-snare resection of large mucosally-based neoplasms. UEMR does not require submucosal injection to create a fluid cushion. Very few published examples of UMER in the duodenum exist. This video case series describes the use of UEMR for the resection of several large duodenal adenomas.</p></div><div><h3>Procedure</h3><p>Underwater endoscopic mucosal resection was utilized for the removal of several large duodenal adenomas.</p></div><div><h3>Results</h3><p>Three duodenal lesions ranging from 1.8<!--> <!-->cm to 5<!--> <!-->cm were successfully resected by UEMR. The mean time for resection was 18<!--> <!-->min. There were no adverse events.</p></div><div><h3>Conclusions</h3><p>UEMR is an efficacious technique for the resection of large mucosally-based neoplasms of the duodenum.</p></div>\",\"PeriodicalId\":101274,\"journal\":{\"name\":\"Video Journal and Encyclopedia of GI Endoscopy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.vjgien.2015.02.002\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Video Journal and Encyclopedia of GI Endoscopy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2212097115000035\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Video Journal and Encyclopedia of GI Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212097115000035","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 6
摘要
背景和目的内镜下粘膜切除术(EMR)是一种成熟的方法，用于切除整个胃肠道的肿瘤息肉。EMR通常包括使用空气或CO2向腔内充气，然后在粘膜下提起息肉以尽量减少深部组织损伤和穿孔的风险，然后进行热陷阱息肉切除术。水下内镜粘膜切除术(UEMR)是一项新技术，它利用水在不被空气或二氧化碳扩张的腔内显示病变，然后对大型粘膜肿瘤进行分段热阱切除术。UEMR不需要粘膜下注射来产生液体垫。很少有已发表的十二指肠UMER的例子存在。本视频病例系列描述了使用UEMR切除几个大的十二指肠腺瘤。手术方法:采用水下内镜粘膜切除术切除十二指肠大腺瘤。结果UEMR成功切除3个直径为1.8 cm ~ 5 cm的十二指肠病变。平均切除时间为18分钟，无不良事件发生。结论超声磁共振是一种有效的十二指肠粘膜肿瘤切除术方法。
Underwater Endoscopic Mucosal Resection of Large Duodenal Adenomas (Video)
Background and aims
Endoscopic mucosal resection (EMR) is a well-established method for the removal of neoplastic polyps throughout the GI tract. EMR typically involves insufflation of the lumen using air or CO2, followed by submucosal lifting of a polyp to minimize the risk of deep tissue injury and perforation, followed by hot-snare polypectomy. Underwater endoscopic mucosal resection (UEMR) is a new technique that uses water to enable lesion visualization in a lumen that is not distended by air or CO2, followed by piecemeal hot-snare resection of large mucosally-based neoplasms. UEMR does not require submucosal injection to create a fluid cushion. Very few published examples of UMER in the duodenum exist. This video case series describes the use of UEMR for the resection of several large duodenal adenomas.
Procedure
Underwater endoscopic mucosal resection was utilized for the removal of several large duodenal adenomas.
Results
Three duodenal lesions ranging from 1.8 cm to 5 cm were successfully resected by UEMR. The mean time for resection was 18 min. There were no adverse events.
Conclusions
UEMR is an efficacious technique for the resection of large mucosally-based neoplasms of the duodenum.
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