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 certain creation to this system. It contains preoperative coaching, surgical equipment, intraoperative issues and postoperative administration of complex endoscopic strategies. It generally specializes in endoscopic submucosal dissection (ESD) and endoscopic submucosal tunneling applied sciences, equivalent to peroral endoscopic myotomy (POEM) and submucosal tunneling endoscopic resection (STER). This booklet provides crucial surgical steps and diagnostic illustrations of those quickly constructing thoughts. It presents a theoretical foundation and worthwhile technical advice for specialists to accomplish ESD and summarizes this new remedy of gastrointestinal illness not just early cancers but additionally different gastrointestinal problems together with esophageal achalasia, and so on. The Atlas of Digestive Endoscopic Resection will function an awesome reference for physicians and surgeons keen on 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
This clip is also commonly used in full-thickness resection to close the perforation (Fig. 24). It’s more expensive. The clips can be used to help the surgeon locate the exact position of lesion, sometime assisted with X-ray. 44 Fig. 23 Resolution clip (Boston Scientific) Fig. 1 IT Knife Insulated-tip (IT) Knife IT knife (insulation-tipped electrosurgical diathermic knife), has an insulated ceramic tip mounted on the tip of this device, which is the first device developed for ESD. 2 mm insulated tip of outer diameter.
Recently studies confirmed that chromoendoscopy can detect more polyps than a standard colonoscopy. It takes longer to perform than a standard colonoscopy and requires additional kit such as spraying catheter and special blue dye. Narrow-band imaging (NBI) is an optical image enhancement technology that enhances vessels and their patterns in the mucosa hence can be helpful in differentiating tumorous from non-tumorous lesions. Examination of the lower digestive tract with NBI can visualize capillaries on the mucosal surface that appear as brown.
Narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology (including video). Endoscopy. 2004;36(12):1080–4. 1055/s-2004-825961. Uchiyama Y, Imazu H, Kakutani H, Hino S, Sumiyama K, Kuramochi A, et al. New approach to diagnosing ampullary tumors by magnifying endoscopy combined with a narrow-band imaging system. J Gastroenterol. 2006;41(5):483–90. 1007/ s00535-006-1800-7. Machida H, Sano Y, Hamamoto Y, Muto M, Kozu T, Tajiri H, et al. Narrow-band imaging in the diagnosis of colorectal mucosal lesions: a pilot study.