胃内镜黏膜下剥离术围术期指南

2017-12-30 中华医学会内镜学分会 中国医刊 2017,52(12):12-24.

胃癌是危害我国人民健康的重大疾病之一。内镜黏膜下剥离术(endoscopic submucosal dissection, ESD)作为内镜下治疗消化道病变的微创手术,目前国际多项指南和共识均推荐内镜下切除为早期胃癌的首选治疗方式。作为治疗胃部非浸润性肿瘤和早期胃癌的首选治疗方式,ESD具有侵袭性小、一次性完整切除较大黏膜病变、病理诊断准确、术后复发率低及康复快等优势和特点,在临床中发挥了重要作用

中文标题:

胃内镜黏膜下剥离术围术期指南

发布日期:

2017-12-30

简要介绍:

胃癌是危害我国人民健康的重大疾病之一。内镜黏膜下剥离术(endoscopic submucosal dissection, ESD)作为内镜下治疗消化道病变的微创手术,目前国际多项指南和共识均推荐内镜下切除为早期胃癌的首选治疗方式。作为治疗胃部非浸润性肿瘤和早期胃癌的首选治疗方式,ESD具有侵袭性小、一次性完整切除较大黏膜病变、病理诊断准确、术后复发率低及康复快等优势和特点,在临床中发挥了重要作用。其中,ESD围术期是指从确定ESD手术至与本次手术有关的治疗基本结束为止的一段时间,包括术前准备、术中操作、术后恢复至医源性溃疡愈合的全过程。本指南对胃ESD围术期,包括治疗的适应证和禁忌证、胃ESD术前准备、术中操作、术中/术后并发症和术后标本的处理等方面进行详细阐述,期望本指南能够在临床实践中为医生提供切实的帮助,促使我国未来胃ESD的围术期管理更加规范和专业。

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=962837, encodeId=eb4a96283e73, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=IRMOoNP64ymb1U1eoJr2Ow&s=100&t=1566613563, createdBy=11055220138, createdName=东南南风, createdTime=Wed May 05 16:43:12 CST 2021, time=2021-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291131, encodeId=4f84291131eb, content=胃癌危害大.确实应该引起更大的重视, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1f1752321, createdName=hfmedsci, createdTime=Mon Feb 26 17:32:29 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287843, encodeId=fbd028e84310, content=这个可是要好好收藏, beContent=null, objectType=guider, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/mzZkwf53jx0oribz8WkmVTPTSib4iaRMXz6nkEOaqWPjgyYWQoLa8J2WCicWvb8SrhhZz5sgUcwmQnMQ1lJcA7Fhxg/0, createdBy=9b182084756, createdName=yunger, createdTime=Wed Feb 14 09:14:03 CST 2018, time=2018-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280149, encodeId=c22d28014936, content=谢谢分享学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Fri Jan 19 21:33:40 CST 2018, time=2018-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280140, encodeId=219b280140c0, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Fri Jan 19 21:07:20 CST 2018, time=2018-01-19, status=1, ipAttribution=)]
    2021-05-05 东南南风

    学习了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=962837, encodeId=eb4a96283e73, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=IRMOoNP64ymb1U1eoJr2Ow&s=100&t=1566613563, createdBy=11055220138, createdName=东南南风, createdTime=Wed May 05 16:43:12 CST 2021, time=2021-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291131, encodeId=4f84291131eb, content=胃癌危害大.确实应该引起更大的重视, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1f1752321, createdName=hfmedsci, createdTime=Mon Feb 26 17:32:29 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287843, encodeId=fbd028e84310, content=这个可是要好好收藏, beContent=null, objectType=guider, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/mzZkwf53jx0oribz8WkmVTPTSib4iaRMXz6nkEOaqWPjgyYWQoLa8J2WCicWvb8SrhhZz5sgUcwmQnMQ1lJcA7Fhxg/0, createdBy=9b182084756, createdName=yunger, createdTime=Wed Feb 14 09:14:03 CST 2018, time=2018-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280149, encodeId=c22d28014936, content=谢谢分享学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Fri Jan 19 21:33:40 CST 2018, time=2018-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280140, encodeId=219b280140c0, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Fri Jan 19 21:07:20 CST 2018, time=2018-01-19, status=1, ipAttribution=)]
    2018-02-26 hfmedsci

    胃癌危害大.确实应该引起更大的重视

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=962837, encodeId=eb4a96283e73, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=IRMOoNP64ymb1U1eoJr2Ow&s=100&t=1566613563, createdBy=11055220138, createdName=东南南风, createdTime=Wed May 05 16:43:12 CST 2021, time=2021-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291131, encodeId=4f84291131eb, content=胃癌危害大.确实应该引起更大的重视, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1f1752321, createdName=hfmedsci, createdTime=Mon Feb 26 17:32:29 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=287843, encodeId=fbd028e84310, content=这个可是要好好收藏, beContent=null, objectType=guider, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/mzZkwf53jx0oribz8WkmVTPTSib4iaRMXz6nkEOaqWPjgyYWQoLa8J2WCicWvb8SrhhZz5sgUcwmQnMQ1lJcA7Fhxg/0, createdBy=9b182084756, createdName=yunger, createdTime=Wed Feb 14 09:14:03 CST 2018, time=2018-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280149, encodeId=c22d28014936, content=谢谢分享学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋,懒,贪, createdTime=Fri Jan 19 21:33:40 CST 2018, time=2018-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280140, encodeId=219b280140c0, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Fri Jan 19 21:07:20 CST 2018, time=2018-01-19, status=1, ipAttribution=)]
    2018-02-14 yunger

    这个可是要好好收藏

    0

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    2018-01-19 戒馋,懒,贪

    谢谢分享学习了

    0

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    2018-01-19 thlabcde

    好资料学习了!

    0