Endoscopic submucosal dissection analysis of 19 cases of early gastric cancer treatment.docVIP

 PAGE \* MERGEFORMAT 7 Endoscopic submucosal dissection analysis of 19 cases of early gastric cancer treatment [Keywords:] early gastric cancer; endoscopic submucosal dissection; treatment Early gastric cancer (EGC) is the gastric lesions in the mucosa or submucosa, regardless of whether the lesion size and lymph node metastasis. EGC undertaken in recent years, endoscopic submucosal dissection (ESD) achieved good treatment effect, while eliminating the traditional the risk of surgery and postoperative quality of life of the serious impact. in our hospital from January 2008 to October were treated by ESD EGC 19 cases, and achieved good effect, now the treatment, complications and prognosis following . 1 Materials and Methods 1.1 clinical data in January 2008 to October Digestive Endoscopy Center of our hospital were diagnosed as EGC parallel ESD 19 cases of patients treated. Including 11 males and 8 females; aged 47 to 85 years, mean age 63.5 years old. lesion distribution: cardia 6, accounting for 31.6%; gastric corner four, accounting for 21.1%; gastric antrum 9, accounting for 47.3%. All lesions were confirmed by ultrasound endoscopy lesion limited in the mucosa or submucosa, below the muscular layer. lesion diameter 20 ~ 75mm, an average of 46 mm. 1. 2 ESD method 1. 2.1-based devices using Olympus XQ240 gastroscope, needle knife, IT knife, Hook knife, Flex knife, transparent cap, power clamp, ERBEICC-200 endoscopic treatment of electronic systems. 1. 2. 2 ESD steps along the first tool with lesions around the needle about 0. 5mm to tag, labeled with 1:10 000 adrenaline saline submucosal injection of methylene blue, the lesions even uplift, and then use needle-knife circumferential pre-cut line, cut after the use of IT stripping knife or needle knife, until the mucosa stripped completely. with a three-jaw pliers remove the lesions. bleeding during surgery with argon local hemostasis. 1.2. 3 Organization examination and treatment evalua