中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

早期胃癌内镜治疗并发症特点及处理

徐美东，初    元   

  1. 复旦大学附属中山医院内镜中心，上海 200032
  • 出版日期:2017-04-01 发布日期:2017-03-31

  • Online:2017-04-01 Published:2017-03-31

摘要：

随着内镜技术的发展和对早期胃癌研究的不断深入，内镜技术已经成为治疗早期胃癌的重要方法。与外科手术相比，内镜治疗适应证范围内的早期胃癌安全性高且疗效相当。但其也伴随着并发症的发生，主要包括出血、穿孔、狭窄等。正确认识并发症的危险因素、发病机制、临床特点和处理措施，有助于提高内镜治疗的安全性和疗效，发挥内镜治疗早期胃癌的优势，使更多的病人获益。

关键词: 早期胃癌, 内镜治疗, 并发症, 内镜黏膜下剥离术

Abstract:

Complications of endoscopic treatment for early gastric cancer：Characteristics and Treatment        XU Mei-dong,CHU Yuan. Endoscopic Center，Zhongshan Hospital，Fudan University，Shanghai 200032，China
Corresponding author：XU Mei-dong，E-mail: xumeidong@aliyun.com
Abstract    Endoscopic treatment has become an important method for early gastric cancer with the development of endoscopic technique and advanced research of early gastric cancer. Although endoscopic treatment can be safer than surgery with similar efficiency, complications still happen at times. The common complications include bleeding，perforation, stenosis and so on. Endoscopists should have sufficient knowledge about the risks，mechanisms，clinical features and management of such complications, consequently make efforts to guarantee the safety and efficiency, and take advantages of endoscopic treatment for early gastric cancer. As a result，more patients can benefit.

Key words: early gastric cancer, endoscopic treatment, complications, endoscopic submucosal dissection