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即使在食管胃结合部(EGJ),只要保持良好的视野,尽力减少出血和穿孔,也可安全完成内镜下黏膜下层剥离术(ESD)。本文就30例EGJ病变治验例探讨ESD的有效性和安全性。病变“一总”切除率达97%(29/30例),全例均可作出详细的病理学评价。偶发症中无发生后出血者,1例发生穿孔经作保守治疗取得改善。目前对于EGJ癌的病理学评价尚无定论,宜在准确病理学评价基础上预测其淋巴结转移的危险性,以此制订治疗方针是非常重要。
Endoscopic submucosal dissection (ESD) can be safely performed, even with a good esophageal-gastric junction (EGJ), as long as good field of vision is maintained, bleeding is minimized and perforation is minimized. This article on the treatment of 30 cases of EGJ lesions to explore the effectiveness and safety of ESD. Lesions “” total "resection rate of 97% (29/30 cases), all cases can make a detailed pathological evaluation. Occurrence of incidental bleeding in those who did not, 1 case of perforation by conservative treatment made improvements. At present, the pathological evaluation of EGJ cancer is inconclusive. Therefore, it is important to predict the risk of lymph node metastasis on the basis of accurate pathological evaluation. Therefore, it is very important to formulate the treatment guidelines.