By Pinghong Zhou, Liqing Yao, Xinyu Qin
Digestive Endoscopic Resection presents a minimally invasive approach to diagnosing and treating gastrointestinal melanoma. This e-book incorporates a complete and specified advent to this system. It comprises preoperative coaching, surgical equipment, intraoperative issues and postoperative administration of complex endoscopic tactics. It mostly makes a speciality of endoscopic submucosal dissection (ESD) and endoscopic submucosal tunneling applied sciences, reminiscent of peroral endoscopic myotomy (POEM) and submucosal tunneling endoscopic resection (STER). This booklet offers crucial surgical steps and diagnostic illustrations of those quickly constructing recommendations. It presents a theoretical foundation and necessary technical assistance for specialists to accomplish ESD and summarizes this new remedy of gastrointestinal affliction not just early cancers but additionally different gastrointestinal issues together with esophageal achalasia, and so forth. The Atlas of Digestive Endoscopic Resection will function an awesome reference for physicians and surgeons curious about endoscopic minimally invasive surgery.
Editors Pinghong Zhou, Liqing Yao and Xinyu Qin are professors at Zhongshan medical institution affiliated to Fudan collage, Shanghai, China.
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Extra resources for Atlas of Digestive Endoscopic Resection
2012;11(5):441–6. 5. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc. 2003;58(6 Suppl):S3–43. 6. Ono S, Fujishiro M, Niimi K, Goto O, Kodashima S, Yamamichi N, et al. Long-term outcomes of endoscopic submucosal dissection for superficial esophageal squamous cell neoplasms. Gastrointest Endosc. 2009;70(5):860–6. 044. 7. Kumagai Y, Inoue H, Nagai K, Kawano T, Iwai T. Magnifying endoscopy, stereoscopic microscopy, and the microvascular architecture of superficial esophageal carcinoma.
19). Lastly, type VN includes nano structured pits, which indicate massive submucosal invasive carcinoma and require surgical resection with lymph node dissection . (4) CP types I, II, IIIA, and IIIB are observed in non-neoplastic lesions, adenomas, mucosal or slightly invasive submucosal carcinoma, and massive invasive submucosal carcinoma, respectively Fig. 20. 3 % . Thus Capillary patterns observed by NBI with magnification could be used to assess the degree of atypia in early colorectal neoplasia.
If resection is difficult or with high risks of bleeding, nylon loop is applied to the pedicle of the polyps until the polyps get avascular necrosis and falls off, but the specimens is usually lost. The nylon snare can be used to close the perforation, and this technique is frequently used in endoscopic full-thickness resection (EFTR). Careful endoscopic suction is applied to reduce the size of the perforation before nylon snare is applied. Fig. 19 Nylon snare Fig. 3 Distal Cap/Hood A distal hood is often mounted at the tip of the endoscope to maintain a clear view and determine the correct margin of the lesion to perform the precise ESD procedure and push the folds from being in the operating field, so it’s indispensable for ESD procedure.