Download PDF by Pinghong Zhou, Liqing Yao, Xinyu Qin: Atlas of Digestive Endoscopic Resection

By Pinghong Zhou, Liqing Yao, Xinyu Qin

Digestive Endoscopic Resection presents a minimally invasive approach to diagnosing and treating gastrointestinal melanoma. This ebook features a accomplished and specified creation to this system. It contains preoperative guidance, surgical tools, intraoperative issues and postoperative administration of complex endoscopic tactics. It customarily specializes in endoscopic submucosal dissection (ESD) and endoscopic submucosal tunneling applied sciences, comparable to peroral endoscopic myotomy (POEM) and submucosal tunneling endoscopic resection (STER). This e-book offers crucial surgical steps and diagnostic illustrations of those speedy constructing thoughts. It presents a theoretical foundation and necessary technical advice for specialists to accomplish ESD and summarizes this new remedy of gastrointestinal illness 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 an excellent reference for physicians and surgeons eager about endoscopic minimally invasive surgery.

Editors Pinghong Zhou, Liqing Yao and Xinyu Qin are professors at Zhongshan medical institution affiliated to Fudan college, Shanghai, China.

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NBI works similarly as chromoendoscopy 19 (Fig. 14) by obtaining high-resolution images equivalent to chromoendoscopy while the latter can not observe the vascular pattern. Some scholars believe that the pit pattern classification of neoplasia by NBI combined with magnifying endoscopy is more reliable and such procedure is described as “optical biopsy” [11]. The well recognized morphology classification is Kudo’s Pit Pattern [12] (Fig. 15) and capillary pattern (CP) classification proposed by Sano [13] (Fig.

In addition, waterjet is frequently used to wash bleeding surface to target hemostatic treatment (Fig. 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.

Clinical studies suggest that NBI can achieve the same result as that by chromoendoscopy without the need of dye. It can detect the lesions and determine the extent of it. Through NBI, we can see that normal esophageal mucosa is nattier blue, and, by magnification esophageal intraepithelial vessels and deep vessels appear tawny and cyan (Fig. 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.

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