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内镜下治疗伴发静脉曲张的上消化道早癌患者的出血风险
引用本文:令狐恩强,卜保国,卢忠生,王志强,王向东,孟江云,王红斌. 内镜下治疗伴发静脉曲张的上消化道早癌患者的出血风险[J]. 中华腔镜外科杂志(电子版), 2011, 4(5): 21-23. DOI: 10.3877/cma.j.issn.1674-6899.2011.05.009
作者姓名:令狐恩强  卜保国  卢忠生  王志强  王向东  孟江云  王红斌
作者单位:中国人民解放军总医院消化科,北京,100853
摘    要:目的研究内镜下治疗伴发食管胃静脉曲张的上消化道早癌患者的出血风险。方法回顾性分析2005年4月至2011年8月行内镜下治疗伴发食管胃底静脉曲张的7例上消化道早癌患者的临床资料。静脉曲张采用LDRf分型进行分型。对于早癌或癌前病变采用内镜下黏膜剥离术(ESD)或内镜下黏膜切除术(EMR)治疗。结果本组7例患者行ESD或EMR,7例患者中4例早期胃癌,3例早期食管癌;6例食管静脉曲张,1例胃底静脉曲张。均完整切除病变,内镜下早癌治疗术中及术后均未发生静脉曲张出血。结论内镜下治疗伴发食管胃静脉曲张的上消化道早癌不增加静脉曲张的出血风险。

关 键 词:消化道早癌  静脉曲张  内镜下黏膜切除术  内镜黏膜下剥离术

The risk of bleeding in endoscopic theray of upper gastrointesinal early cancer accompanied by gastroesophageal varices
LINGHU En-qiang,BU Bao-guo,LU Zhong-sheng,WANG Zhi-qiang,WANG Xiang-dong,MENG Jiang-yun,WANG Hong-bin. The risk of bleeding in endoscopic theray of upper gastrointesinal early cancer accompanied by gastroesophageal varices[J]. Chinese Journal of Laparoscopic Surgery ( Electronic Editon), 2011, 4(5): 21-23. DOI: 10.3877/cma.j.issn.1674-6899.2011.05.009
Authors:LINGHU En-qiang  BU Bao-guo  LU Zhong-sheng  WANG Zhi-qiang  WANG Xiang-dong  MENG Jiang-yun  WANG Hong-bin
Affiliation:LINGHU En-qiang,BU Bao-guo,LU Zhong-sheng,WANG Zhi-qiang,WANG Xiang-dong,MENG Jiang-yun,WANG Hong-bin. Department of Gastroenterology,General Hospital of Chinese People's Liberation Army,Beijing 100853,China
Abstract:Objective To evaluate the safety of endoscopic mucosal resection(EMR) and endoscopic submucosal dissection(ESD) in treating upper gastrointestinal cancers accompanied with varices. Methods Clinical data of 7 patients with upper gastrointestinal caners accompanied with varices treated by ESD or EMR between April 2005 and August 2011 were retrospectively analyzed. Results Of 7 patients,4 had early gastric cancers,and the other had early esophageal cancers;6 had esophageal varices,1 had gastric fund varices. A...
Keywords:Early-stage cancer  Varices  Endoscopic mucosal resection  Endoscopic submucosal dissection  
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