By Pinghong Zhou, Liqing Yao, Xinyu Qin
Digestive Endoscopic Resection presents a minimally invasive approach to diagnosing and treating gastrointestinal melanoma. This ebook includes a accomplished and particular creation to this method. It contains preoperative practise, surgical tools, intraoperative issues and postoperative administration of complicated endoscopic tactics. It frequently specializes in endoscopic submucosal dissection (ESD) and endoscopic submucosal tunneling applied sciences, resembling peroral endoscopic myotomy (POEM) and submucosal tunneling endoscopic resection (STER). This booklet offers crucial surgical steps and diagnostic illustrations of those quick constructing strategies. It presents a theoretical foundation and worthwhile technical information for specialists to accomplish ESD and summarizes this new remedy of gastrointestinal ailment not just early cancers but in addition different gastrointestinal problems together with esophageal achalasia, and so forth. The Atlas of Digestive Endoscopic Resection will function a fantastic reference for physicians and surgeons enthusiastic about endoscopic minimally invasive surgery.
Editors Pinghong Zhou, Liqing Yao and Xinyu Qin are professors at Zhongshan health center affiliated to Fudan college, Shanghai, China.
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Additional info for Atlas of Digestive Endoscopic Resection
8). Diagnostic Techniques in Gastrointestinal Disease Observation of intra-epithelial papillary capillary loops (IPCL) with NBI combined with magnifying endoscopy help detect early esophageal cancer. Clinically, IPCLs are classified into the following types: a. Type IPCL-I, short and fine with scattered distribution and usually seen in the superior segment of normal esophagus; b. Type IPCL-II, long and thick, distributed more densely than the superior esophagus and usually seen in the middle segment of normal esophagus; c.
12). Due to the difference between capillaries pattern of mucosal lesions and adjacent normal in density, morphology and color, NBI can clearly visualize the demarcation and surface structure of the lesions (Fig. 13). In the NBI mode, it is possible to observe the fine structure of the superficial mucosal layer and distribution of capillaries. As capillaries on the normal superficial mucosal layer around the colonic tumorous lesion extend until they reach the lesion margin and this enables the demarcation between the tumorous lesions and normal adjacent mucosa to be clear.
5 cm. Nylon snare Device and Equipment for Endoscopic Therapy (Fig. 19) on the other hand is used for ligation without electrocautery function. It’s commonly used for ligature of the polyps with thick pedicle to prevent bleeding after resection. 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).