By Pinghong Zhou, Liqing Yao, Xinyu Qin
Digestive Endoscopic Resection presents a minimally invasive approach to diagnosing and treating gastrointestinal melanoma. This publication includes a accomplished and precise advent to this method. It contains preoperative coaching, surgical tools, intraoperative problems and postoperative administration of complex endoscopic tactics. It quite often makes a speciality of endoscopic submucosal dissection (ESD) and endoscopic submucosal tunneling applied sciences, resembling peroral endoscopic myotomy (POEM) and submucosal tunneling endoscopic resection (STER). This publication provides crucial surgical steps and diagnostic illustrations of those quickly constructing recommendations. It presents a theoretical foundation and priceless technical assistance for specialists to accomplish ESD and summarizes this new therapy of gastrointestinal ailment 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 incredible reference for physicians and surgeons enthusiastic about endoscopic minimally invasive surgery.
Editors Pinghong Zhou, Liqing Yao and Xinyu Qin are professors at Zhongshan sanatorium affiliated to Fudan college, Shanghai, China.
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Additional info for Atlas of Digestive Endoscopic Resection
2). 2 mm diameter channel for the effective suction during the treatment. Fig. 2 GIF-260J helps to clean away blood and blood clots, and identify the precise bleeding point Fig. 1 Equipment GIF-2TQ260M (Fig. 2 mm diameter dual channel. The multi-bending function helps approach the lesion in the “angle” and low body of stomach. For colorectal ESD, an esophagogastroduodenoscopy (EGD) endoscope may be useful because it is easy to switch to a retroflex view in the narrow space. 2 mm diameter dual channel improves the operation and offers additional advantages.
5). Blue light penetrates superficially, whereas red light penetrates to deeper mucosal layers. Images formed by these three lights are displayed on a monitoring device after being integrated by the image adjustment circuit of the endoscopic system to enhance the fine structure of the mucosal surface, morphology of capillaries without the use of chromoendoscopy. Clinically, NBI is used in combination with magnifying endoscopy to better observe the mucosal and vascular patterns of the lesions. NBI filter Xenon lamp Organ surface Monochromatic CCD BLUE 400 500 600 GREEN RED 700 nm COLOR IMAGE Fig.
Such lesion are amenable endoscopic resection. Type IIIL includes tubular or roundish pits that are larger than normal pits. Almost all of Type IIIL lesions are tubular adenomas in pathology, which can be treated by polypectomy. Type IV includes branch-like or gyrus-like pits, most of which are tubulovillous adenoma, although intramucoal carcinoma is present in 35 % of these pits and can be treated by endoscopy (Fig. 18). Type VI includes irregularly arranged pits that may indicate submucosal invasive carcinoma in majority of such lesions, for which the optimal treatment can be decided between endoscopic and surgical therapy (Fig.