Advance of gastrointestnal endoscopic resection: from mucosa to serosa

Lei CHEN

doi:10.16016/j.1000-5404.201906108

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Advance of gastrointestnal endoscopic resection: from mucosa to serosa

Expert Reviews | 更新时间：2026-01-09

- Advance of gastrointestnal endoscopic resection: from mucosa to serosa
- Journal of Third Military Medical University Vol. 41, Issue 19, Pages: 1885-1889(2019)
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院全军消化病研究所
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201906108
  CLC： R57;R735
- Received：17 June 2019，
  
  Revised：2019-06-29，
  
  Published：15 October 2019
- 稿件说明：
移动端阅览
Lei CHEN. Advance of gastrointestnal endoscopic resection: from mucosa to serosa[J]. Journal of Third Military Medical University, 2019, 41(19): 1885-1889.
DOI：

Lei CHEN. Advance of gastrointestnal endoscopic resection: from mucosa to serosa[J]. Journal of Third Military Medical University, 2019, 41(19): 1885-1889. DOI： 10.16016/j.1000-5404.201906108.

摘要

近年来，消化内镜技术的飞速发展给内镜下治疗带来了革命性的改变。尤其是内镜切除的范围已经由内向外从黏膜层、黏膜下层过渡到固有肌层，甚至突破浆膜层到达腹膜腔内，相应的内镜治疗技术也从黏膜切除术、黏膜剥离术、黏膜下隧道内镜技术、全层切除术衍生到经自然腔道内镜手术。黏膜外科和浆膜外科已经完美融合，消化内镜医生部分取代了外科医生的工作。中国和日本内镜专家在此方面做出了巨大贡献，大大扩展了内镜切除的适应证。现对内镜切除新技术及其相应适应证进行总结，以期指导临床。

Abstract

In recent years

the rapid development of digestive endoscopy technology has brought revolutionary changes to endoscopic treatment. Especially

the extent of endoscopic resection has gone through the leap of mucosal layer

submucosal layer

muscular layer and extraserosal lesions from inside to outside

and the corresponding treatment technology is from endoscopic mucosal resection

endoscopic submucosal dissection

submucosal tunnelling endoscopic resection

endoscopic full-thickness resection to new natural orifice transluminal endoscopic surgery. Mucosal surgery and serosal surgery have been fused together

and digestive endoscopists have done part of surgeon's work. Chinese and Japanese endoscopists have made great contribution and greatly promoted these endoscopic techniques

thus

the indications of endoscopic resection have been extended. In this review

we summarized the indications of these new methods in hope of guiding clinical practice.

关键词

Keywords

references

王东, 李兆申. NOTES新发展与新NOTES[J].中华消化内镜杂志, 2018, 35(9): 609-610. DOI: 10.3760/cma.j.issn.1007-5232.2018.09.001.

WANG D, LI Z S. New Development of NOTES and New NOTES[J]. Chin J Digest Endosc, 2018, 35(9): 609-610. DOI: 10.3760/cma.j.issn.1007-5232.2018.09.001.

MIN Y W, LEE J H. Endoscopic resection for early gastric cancer beyond absolute indication with emphasis on controversial issues[J]. J Gastric Cancer, 2014, 14(1): 7-14. DOI:10.5230/jgc.2014.14.1.7.

DEYHLE P, LARGIADÈR F, JENNY S, et al . A method for endoscopic electroresection of sessile colonic polyps[J ] . Endoscopy, 1973, 5(1): 38-40. DOI:10.1055/s-0028-1098209.

TADA M, SHIMADA M, MURAKAMI F, et al . Development of the strip-off biopsy[J ] . Gastroenterol Endosc, 1984, 26: 833-839.

吴浩, 邹文斌, 刘枫, 等.早期胃癌及癌前病变内镜下切除治疗现状及进展[J].中国实用内科杂志, 2014, 34(5): 530-538.

WU H, ZOU W B, LIU F, et al . Progress in endoscopic resection of early gastric cancer and precancerous lesions[J ] . Chin J Pract Intern Med, 2014, 34(5): 530-538.

LI P, WANG Y J, CHEN G Y, et al . Screening, diagnosis and treatment of early colorectal cancer and precancerous lesions in China[J ] . Chin J Med, 2015, 50(2): 14.

NAKADOIK, TANAKA S, KANAO H, et al . Management of T1 colorectal carcinoma with special reference to criteria for curative endoscopic resection[J ] . J Gastroenterol Hepatol, 2012, 27(6): 1057-1062. DOI:10.1111/j.1440-1746.2011.07041.x.

TAKEKOSHI T, BABA Y, OTA H, et al . Endoscopic resection of early gastric carcinoma: results of a retrospe ctive analysis of 308 cases[J ] . Endoscopy, 1994, 26(4): 352-358. DOI:10.1055/s-2007-1008990.

GOTODA T, KONDO H, ONO H, et al . A new endoscopic mucosal resection procedure using an insulation-tipped electrosurgical knife for rectal flat lesions: report of two cases[J ] . Gastrointest Endosc, 1999, 50(4): 560-563.

FACCIORUSSO A, ANTONINO M, DI MASO M, et al . Endoscopic submucosal dissection vs endoscopic mucosal resection for earlygastric cancer: A meta-analysis[J ] . World J Gastrointest Endosc, 2014, 6(11): 555-563. DOI:10.4253/wjge.v6.i11.555.

LIAN J J, CHEN S Y, ZHANG Y, et al . A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer[J ] . Gastrointest Endosc, 2012, 76(4): 763-770. DOI:10.1016/j.gie.2012.06.014.

FENG X X, LINGHU E Q, CHAI N L, et al . Endoscopic submucosal tunnel dissection for large gastric neoplastic lesions: A case-matched controlled study[J ] . Gastroenterol Res Pract, 2018, 2018: 1419369. DOI:10.1155/2018/1419369.

中国抗癌协会肿瘤内镜专业委员会.中国早期食管癌筛查及内镜诊治专家共识意见(2014年, 北京)[J].中华消化内镜杂志, 2015(4):220-240.

Chinese Society of Anticancer Association Cancer Endoscopy ProfessionalCommittee. Consensus opinion of early Chinese esophageal cancer screening and endoscopic diagnosis and treatment experts (2014, Beijing)[J]. Chin J Digest Endosc, 2015(4): 220-240.

北京市科委重大项目《早期胃癌治疗规范研究》专家组, 柴宁莉, 翟亚奇, 杜晨.早期胃癌内镜下规范化切除的专家共识意见(2018, 北京)[J].中华胃肠内镜电子杂志, 2018, 5(2): 49-60.

Experts group of the Subject Study of the Standard Treatment of Early Gastric Cancer (subtask of the major project) of Beijing Science and Technology Program, CHAI N L, ZHAI Y Q, DU C. Expert consensus of standardized endoscopic resection for early gastric cancer(2018, Beijing)[J ] . Chin J Gastrointest Endosc Electron Ed, 2018, 5(2): 49-60.

ONO H, YAO K S, FUJISHIRO M, et al . Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer[J ] . Digest Endosc, 2016, 28(1): 3-15. DOI:10.1111/den.12518.

中华医学会消化内镜学分会消化系旱癌内镜诊断与治疗协作组.中国早期结直肠癌及癌前病变筛查与诊治共识意见(2014年11月·重庆)[J].中华内科杂志, 2015, 54(4):375-389.

Chinese Medical Association Digestive Endoscopy Branch Digestive System Endoscopy Diagnosis and Treatment of Dry Cancer. Consensus on early screening and diagnosis of colorectal cancer and precancerous lesions in China (November 2014·Chongqing)[J].Chin J Intern Med, 2015, 54(4): 375-389.

STANDARDS OF PRACTICE COMMITTEE, FAULX A L, KOTHARI S, et al . The role of endoscopy in subepithelial lesions of the GI tract[J ] . Gastrointest Endosc, 2017, 85(6): 1117-1132. DOI:10.1016/j.gie.2017.02.022.

KIM S Y, KIM K O. Endoscopic treatment of subepithelial tumors[J]. Clin Endosc, 2018, 51(1): 19-27. DOI:10.5946/ce.2018.020.

MENG F S, ZHANG Z H, HONG Y Y, et al . Comparison of endoscopic submucosal dissection and surgery for the treatment of gastric submucosal tumors originating from the muscularis propria layer: a single-center study (with video)[J ] . Surg Endosc, 2016, 30(11): 5099-5107. DOI:10.1007/s00464-016-4860-7.

LEE J S, KIM G H, PARK D Y, et al . Endoscopic submucosal dissection for gastric subepithelial tumors: A single-center experience[J ] . Gastroenterol Res Pract, 2015, 2015: 425469. DOI:10.1155/2015/425469.

XU M D, CAI M Y, ZHOU P H, et al . Submucosal tunneling endoscopic resection: a new technique for treating upper GI submucosal tumors originating from the muscularis propria layer (with videos)[J ] . Gastrointest Endosc, 2012, 75(1): 195-199. DOI:10.101 6/j.gie.2011.08.018.

ZHOU P H, YAO L Q, QIN X Y, et al . Endoscopic full-thickness resection without laparoscopic assistance for gastric submucosal tumors originated from the muscularis propria[J ] . Surg Endosc, 2011, 25(9): 2926-2931. DOI:10.1007/s00464-011-1644-y.

LIU F, ZHANG S, REN W, et al . The fourth space surgery: endoscopic subserosal dissection for upper gastrointestinal subepithelialtumors originating from the muscularis propria layer[J ] . Surg Endosc, 2018, 32(5): 2575-2582. DOI:10.1007/s00464-017-5985-z.

SALEM J F, GUMMADI S, MARKS J H. Minimally invasive surgical approaches to colon cancer[J]. Surg Oncol Clin N Am, 2018, 27(2): 303-318. DOI:10.1016/j.soc.2017.11.005.

李兆申, 辛磊.消化内镜学手术治疗方法的现状与展望[J].手术, 2016, 1(1): 8-11.

LI Z S, XIN L. The status quo and prospect of therapeutic digestive endoscopy[J]. Surg, 2016, 1(1): 8-11.

KALLOO A N, SINGH V K, JAGANNATH S B, et al . Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity[J ] . Gas trointest Endosc, 2004, 60(1): 114-117.

SCHOENBERG M B, MAGDEBURG R, KIENLE P, et al . Hybrid transgastric appendectomy is feasible but does not offer advantages compared with laparoscopic appendectomy: Results from the transgastric appendectomy study[J ] . Surgery, 2017, 162(2): 295-302. DOI:10.1016/j.surg. 2017.02.013.

WEILAND T, FEHLKER M, GOTTWALD T, et al . Performance of the OTSC system in the endoscopic closure of iatrogenic gastrointestinal perforations: a systematic review[J ] . Surg Endosc, 2013, 27(7): 2258-2274. DOI:10.1007/s00464-012-2754-x.

RAHMI G, BARRET M, SAMAHA E, et al . Ureteral obstruction after colonoscopic perforation closed with an over-the-scope clip[J ] . Gastrointest Endosc, 2015, 81(2): 470-471; discussion 471-2. DOI:10.1016/j.gie.2014.10.003.

BELFIORI V, ANTONINI F, DEMINICIS S, et al . Successful closure of anastomotic dehiscence after colon-rectal cancer resection using the Apollo overstitch suturing system[J ] . Endoscopy, 2017, 49(8): 823-824. DOI:10.1055/s-0043-108542.

XIAO Y F, BAI J Y, YU J, et al . Endoscopi c treatment of delayed colon perforation: the enteroscopy overtube approach[J ] . Endoscopy, 2014, 46(6): 503-508. DOI:10.1055/s-0034-1365040.

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