Gastric Esd(胃ESD)研究综述
Gastric Esd 胃ESD - As prolonged clip retention limits the use of magnetic resonance imaging and may impede the ulcer healing process, we investigated the factors associated with prolonged hemoclip retention during gastric ESD. [1] Vonoprazan was associated with lower bleeding rates after gastric ESD, which corroborates the findings of Abe et al. [2] The aim of this study was to assess the efficacy of endoloop closure, using an endoloop and clips, after gastric ESD to prevent bleeding among patients receiving antithrombotic therapy. [3] We invented clip-line closure with the reopenable clip over linemethod (ROLM) for complete closure of the mucosal defect left after gastric ESD. [4] Objectives To describe the results of gastric ESD in a Western country with a low incidence of gastric cancer. [5] However, gastric ESD at the greater curvature of the fundus near the cardia is a challenging procedure because of its technical difficulties [1]. [6] However, colorectal ESD is technically more difficult to perform than esophageal and gastric ESD, and some lesions, such as fibrotic lesions, are difficult to dissect by endoscopy. [7] We report a case in which RDI helped identify submucosal fibrous tissue in the submucosal layer with hematoma during gastric ESD. [8] However, little is known about PECS after gastric ESD. [9] Whether antibiotics are necessary for fever after gastric ESD and ESE remain unclear. [10] We conducted a randomized controlled trial to determine whether increasing blood pressure under hemostasis during gastric ESD to identify potential bleeding spots reduces the risk of post-ESD bleeding. [11] We evaluated the efficacy of SCMC compared to that of SH in gastric ESD. [12] Results The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. [13] In gastric ESD, several studies showed the relationship between postoperative abdominal symptoms and endoscopic treatment. [14] 4% of cases after gastric ESD. [15] We investigated the efficacy of EHS after gastric ESD in patients with antithrombotic agents. [16] AIM To determine how assistant skill level affected the technical outcomes of gastric ESD-C using an ex vivo porcine training model. [17] The incidence of gastric ESD-induced perforation has been reported to vary from 1. [18] Four patients had gastric ESD, two had duodenal ESD and four had sigmoid and rectal ESD. [19] According to recent data, to become a skilled endoscopist for ESD, for the trainees, about at least 30 cases were required to attain a higher technical level of competence in gastric ESD. [20] More than one half of trainees could perform ESD with en bloc resection in the imaginary "lesion" of colon and stomach, and there were higher rates of hemorrhage and perforation occurring in colorectal ESD as compared to gastric ESD. [21] Additionally, a previous study reported the feasibility of gastric ESD with use of a small-caliber endoscope, which was inserted perorally, as a countermeasure to overcome the narrow space or for use of a traction-assisted device. [22] As Baldaque-Silva stated [2], the good results found in gastric ESD will lead to the implementation of esophageal and colorectal ESD. [23] We aimed to examine the usefulness of DRI in endoscopic hemostasis during gastric ESD. [24] org) shows the approach to prepare the actual assistance line for gastric ESD. [25] Methods: A literature search was conducted to identify all relevant studies comparing second-look endoscopy and non-second-look endoscopy after gastric ESD. [26] In conclusion, rebamipide solution reduced fibrosis after gastric ESD and can be expected to exert effects in preventing stenosis as a novel lifting solution. [27] We aimed to systematically identify risk factors for poor short-term outcomes of gastric ESD with the purpose to improve patients' selection and management. [28] To the best of our knowledge, very few studies have reported the use of the multibending endoscope during gastric ESD. [29] Currently, the use of prophylactic antibiotics after gastric ESD is controversial. [30] However, gastric ESD is still challenging because of its technical difficulties. [31] This retrospective study aimed to investigate the effect of continuous LDA on the postoperative bleeding after gastric ESD in patients receiving dual antiplatelet therapy (DAPT). [32] Possible approaches to prevent postoperative bleeding after gastric ESD can be categorized into three groups. [33] Current Japanese guidelines state recommendations for the management of adverse events as follows: (i) any one of prophylactic balloon dilatation, local steroid injection, or oral steroid administration for the prevention of stenosis after endoscopic treatment for superficial esophageal carcinoma; (ii) endoscopic clip closure for intraprocedural perforation of gastric ESD; and (iii) prophylactic coagulation of visible vessels on the post-ESD/EMR wound just after the endoscopic resection procedure. [34] We obviously had no severe bleeding or perforation during ESD (which would demand hospitalisation), and we had three (2%) delayed bleeding events in the ESD site (one hematemesis in the following day after gastric ESD, one rectal bleeding in the following day and one rectal bleeding after one week of rectal ESD), two of them requiring hospitalisation. [35] This study aimed to compare the incidence of delayed bleeding after gastric ESD between the use of VPZ and PPIs in patients continuing antithrombotics. [36]由于长时间的夹子保留限制了磁共振成像的使用并可能阻碍溃疡愈合过程，我们研究了与胃 ESD 期间延长的血夹子保留相关的因素。 [1] Vonoprazan 与胃 ESD 后出血率降低有关，这证实了 Abe 等人的研究结果。 [2] 本研究的目的是评估在胃 ESD 后使用 endoloop 和夹子进行 endoloop 闭合以防止接受抗血栓治疗的患者出血的效果。 [3] 我们发明了带有可重新打开的线夹法 (ROLM) 的夹线闭合，用于完全闭合胃 ESD 后留下的粘膜缺损。 [4] 目的 描述胃癌发病率较低的西方国家的胃 ESD 结果。 [5] 然而，由于技术困难，在贲门附近的胃底大弯处进行胃 ESD 是一项具有挑战性的手术 [1]。 [6] 然而，结直肠 ESD 在技术上比食管和胃 ESD 更难进行，并且一些病变，例如纤维化病变，很难通过内镜进行解剖。 [7] 我们报告了一个案例，其中 RDI 帮助在胃 ESD 期间识别黏膜下层中存在血肿的黏膜下纤维组织。 [8] 然而，人们对胃 ESD 后的 PECS 知之甚少。 [9] 胃 ESD 和 ESE 后发热是否需要抗生素尚不清楚。 [10] 我们进行了一项随机对照试验，以确定在胃 ESD 期间增加止血下的血压以识别潜在的出血点是否会降低 ESD 后出血的风险。 [11] 我们评估了 SCMC 与 SH 在胃 ESD 中的疗效。 [12] 结果体外研究的整块切除率和穿孔率分别为100%（10/10）和10%（1/10）；体内研究中的胃 ESD 分别为 100% (4/4) 和 0%，直肠 ESD 分别为 100% (4/4) 和 25% (1/4)。 [13] 在胃 ESD 中，多项研究显示了术后腹部症状与内镜治疗之间的关系。 [14] 胃 ESD 后 4% 的病例。 [15] 我们研究了抗血栓药物患者胃 ESD 后 EHS 的疗效。 [16] 目的 使用离体猪训练模型确定助理技能水平如何影响胃 ESD-C 的技术结果。 [17] 据报道，胃 ESD 引起的穿孔的发生率在 1 之间变化。 [18] 4 名患者有胃 ESD，2 名有十二指肠 ESD，4 名有乙状结肠和直肠 ESD。 [19] 根据最近的数据，要成为一名熟练的 ESD 内镜医师，对于受训者来说，至少需要 30 例左右才能达到更高的胃 ESD 技术水平。 [20] 超过一半的受训者可以在想象中的结肠和胃“病变”中进行 ESD 整块切除，与胃 ESD 相比，结直肠 ESD 的出血和穿孔发生率更高。 [21] 此外，先前的一项研究报告了使用经口插入的小口径内窥镜进行胃 ESD 的可行性，作为克服狭窄空间或使用牵引辅助装置的对策。 [22] 正如 Baldaque-Silva 所说 [2]，在胃 ESD 中发现的良好结果将导致食管和结肠直肠 ESD 的实施。 [23] 我们旨在检查 DRI 在胃 ESD 期间内镜止血中的有用性。 [24] org) 展示了为胃 ESD 准备实际辅助线的方法。 [25] 方法：进行文献检索，确定所有比较胃 ESD 后二次内镜检查和非二次内镜检查的相关研究。 [26] 总之，瑞巴派特溶液可减少胃 ESD 后的纤维化，并有望作为一种新型提升溶液在预防狭窄方面发挥作用。 [27] 我们旨在系统地确定胃 ESD 短期预后不良的风险因素，以改善患者的选择和管理。 [28] 据我们所知，很少有研究报告在胃 ESD 期间使用多弯曲内窥镜。 [29] 目前，胃 ESD 后预防性抗生素的使用存在争议。 [30] 然而，由于其技术难度，胃 ESD 仍然具有挑战性。 [31] 本回顾性研究旨在探讨持续 LDA 对接受双重抗血小板治疗 (DAPT) 的患者胃 ESD 术后出血的影响。 [32] 预防胃 ESD 术后出血的可能方法可分为三组。 [33] 当前日本指南对不良事件管理的建议如下： (i) 预防性球囊扩张、局部类固醇注射或口服类固醇给药以预防浅表性食管癌内镜治疗后狭窄； (ii) 用于胃 ESD 术中穿孔的内窥镜夹闭合； (iii) 在内窥镜切除手术后立即对 ESD/EMR 后伤口上的可见血管进行预防性凝血。 [34] 我们在 ESD 期间显然没有严重出血或穿孔（这需要住院治疗），并且我们在 ESD 部位发生了 3 次 (2%) 延迟出血事件（胃 ESD 后第二天有一次呕血，第二天有一次直肠出血和 1 例直肠 ESD 一周后直肠出血），其中 2 例需要住院治疗。 [35] 本研究旨在比较持续抗栓治疗患者使用 VPZ 和 PPI 后胃 ESD 后延迟出血的发生率。 [36]
Underwent Gastric Esd 接受了胃 Esd
METHODS We retrospectively reviewed medical records of 7833 patients who underwent gastric ESD for gastric neoplasm under anesthesiologist-directed sedation. [1] This study aimed to investigate whether skeletal muscle depletion (SMD) was associated with the development of pneumonia in elderly patients who underwent gastric ESD. [2] Methods: Patients receiving antithrombotic therapy who underwent gastric ESD at Osaka Medical College Hospital and at 18 referral hospitals all over Japan were enrolled. [3] Methods: One hundred ninety-seven patients who underwent gastric ESD from July 2017 to December 2017 at Pusan National University Yangsan Hospital were enrolled and randomly assigned to the standard or double-dose group. [4]方法 我们回顾性回顾了 7833 例在麻醉医师指导下因胃肿瘤接受胃 ESD 治疗的患者的医疗记录。 [1] 本研究旨在调查骨骼肌耗竭 (SMD) 是否与接受胃 ESD 的老年患者发生肺炎有关。 [2] 方法：纳入在大阪医科大学医院和全日本 18 家转诊医院接受抗血栓治疗并接受胃 ESD 的患者。 [3] 方法：纳入2017年7月至2017年12月在釜山国立大学梁山医院接受胃ESD的197例患者，随机分为标准组或双剂量组。 [4]
Curative Gastric Esd 治愈性胃 Esd
We experienced recurrence caused by implantation of tumor cells in a mucosal laceration after curative gastric ESD. [1] CONCLUSIONS The MGN rate gradually increased with follow-up time within 99 months after curative gastric ESD. [2]我们经历了治愈性胃 ESD 后在黏膜撕裂伤中植入肿瘤细胞引起的复发。 [1] 结论 根治性胃 ESD 后 99 个月内，MGN 发生率随随访时间逐渐增加。 [2]
gastric esd procedure
RESULTS A total of 115 gastric ESD procedures were performed with 84 patients meeting the inclusion criteria. [1] By analyzing 39 esophageal and 66 gastric ESD procedures, Rong et al. [2]结果 总共进行了 115 次胃 ESD 手术，其中 84 名患者符合纳入标准。 [1] 通过分析 39 例食管和 66 例胃 ESD 手术，Rong 等人。 [2]