Endoscopic mucosal resection of Barrett esophagus in patients with and care.docVIP

 PAGE \* MERGEFORMAT 5 Endoscopic mucosal resection of Barrett esophagus in patients with and care [Keywords:] Endoscopy; mucosal resection; Barrett esophagus; tie and nursing Barrett esophagus (BE) is the normal esophageal squamous epithelium was similar to the stomach and intestines replaced by columnar epithelium. Barrett esophagus is the only known precancerous lesion of esophageal adenocarcinoma. I endoscopy room in adopted in 2008 endoscopic mucosal resection (EMR) treatment of Barrett esophagus in 36 cases, no recurrence one year after the review, treatment results were satisfactory. 1 Endoscopic mucosal resection (EMR) Principles and Methods Endoscopic mucosal resection (EMR) that will be disease, including endoscopic mucosal dissection and complete resection with high-frequency current is superficial mucosal lesions for a new type of treatment, the method is used before treatment stained such as magnifying endoscopy and endoscopic ultrasound to determine the range of lesions, size, depth of invasion and the presence of lymphatic or vascular metastasis, and submucosal injection of saline, the mucosa and submucosa separation, when the bulge is obvious mucosal lesion lifting mucosa and positive signs, the use of snare to trap the lesion, removal of high-frequency current. 2 preoperative preparation (1) routine ECG examination, severe arrhythmia, myocardial infarction, asthma, acute mental disorders, throat disorders, and patients can not cooperate contraindications, temporarily without treatment. (2) Psychological Care: Because endoscopy is invasive checks, most patients have a fear, it is very important and detailed explanations, made it clear that the purpose of treatment to the patient, treatment notes, the complete elimination of tension and fear of patients to obtain cooperation. (3) preoperative fasting, water deprivation 8 ~ 12h. (4) intramuscularly 20min before surgery anisodamine 10mg, diazepam 10mg, general anesthesia throat.