Solutions for submucosal injection: What to choose and how to do it.


Journal

World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448

Informations de publication

Date de publication:
21 Feb 2019
Historique:
received: 14 11 2018
revised: 18 01 2019
accepted: 26 01 2019
entrez: 28 2 2019
pubmed: 28 2 2019
medline: 15 5 2019
Statut: ppublish

Résumé

During the past decades, endoscopic resection techniques have gradually improved and gained more importance for the management of premalignant lesions and early cancers. These endoscopic resection techniques can be divided in 3 major groups: snare polipectomy, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). The use of submucosal injection is essential for the majority of EMR techniques and is an integral part of ESD, whereas during polipectomy it is not crucial in most cases except to prevent bleeding in large polyps and/or those with large stalks as an alternative to mechanical methods. Injection provides a lifting up effect of the lesion separating it from the muscular layer, thereby reducing thermal injury and the risk of perforation and bleeding while also facilitating

Identifiants

pubmed: 30809079
doi: 10.3748/wjg.v25.i7.777
pmc: PMC6385015
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

777-788

Déclaration de conflit d'intérêts

Conflict-of-interest statement: No potential conflicts of interest. No financial support.

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Auteurs

Rui Castro (R)

Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto 4450-590, Portugal. rui.arrais.castro@gmail.com.

Diogo Libânio (D)

Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto 4450-590, Portugal.

Inês Pita (I)

Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto 4450-590, Portugal.

Mário Dinis-Ribeiro (M)

Department of Gastroenterology, Portuguese Oncology Institute of Porto, Porto 4450-590, Portugal.

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Classifications MeSH