中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (10): 815-817.

• 专题笔谈 • 上一篇    下一篇

残胃癌的内镜诊治

湛先保   

  1. 第二军医大学附属长海医院消化内科，上海200433
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-10-01 发布日期:2009-10-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-10-01 Published:2009-10-01

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摘要：

残胃癌是胃切除术后主要的远期并发症之一，内镜定期复查仍是发现早期残胃癌的主要手段。与传统的内镜检查相比，新近研发的放大内镜、色素内镜、共聚焦内镜、超声内镜等能够更加清晰地显示黏膜局部的细微改变，协助诊断，并指导靶向活检，有助于提高早期残胃癌检出能力。同时，内镜下黏膜切除术和内镜下黏膜剥离术的日臻成熟和广泛应用，也必将有助于提高早期残胃癌的内镜治疗水平。

关键词: 残胃癌, 黏膜内癌, 内镜手术

Abstract:

Endoscopic diagnosis and treatment of gastric stump carcinoma ZHAN Xian-bao. Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China Abstract Gastric stump carcinoma (GSC) is one of the main remote complications after gastrectomy. Periodical endoscopic examination is still the major tool in diagnosing early GSC. Newly developed endoscopies,such as magnifying endoscopy,chromoendoscopy, narrow banding imaging system, autofluorescence endoscopy, laser confocal endoscopy and endosonography, can show the details of gastric mucosa more clearly than routine endoscopy, which help detect early GSC significantly. Endoscopic mucosal resection and endoscopic submucosal dissection are becoming more mature and widely used, which profoundly improve the ability of endotherapy of early GSC.

Key words: gastric stump carcinoma；mucosal carcinoma insitu, endoscopic surgery