By Pinghong Zhou, Liqing Yao, Xinyu Qin
Digestive Endoscopic Resection offers a minimally invasive approach to diagnosing and treating gastrointestinal melanoma. This ebook incorporates a accomplished and distinct creation to this system. It contains preoperative coaching, surgical equipment, intraoperative problems and postoperative administration of complicated endoscopic systems. It in most cases specializes in endoscopic submucosal dissection (ESD) and endoscopic submucosal tunneling applied sciences, resembling peroral endoscopic myotomy (POEM) and submucosal tunneling endoscopic resection (STER). This publication offers crucial surgical steps and diagnostic illustrations of those quick constructing ideas. It offers a theoretical foundation and worthwhile technical information for specialists to accomplish ESD and summarizes this new remedy of gastrointestinal sickness not just early cancers but additionally different gastrointestinal issues together with esophageal achalasia, and so on. The Atlas of Digestive Endoscopic Resection will function a fantastic reference for physicians and surgeons fascinated by endoscopic minimally invasive surgery.
Editors Pinghong Zhou, Liqing Yao and Xinyu Qin are professors at Zhongshan health facility affiliated to Fudan college, Shanghai, China.
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Additional info for Atlas of Digestive Endoscopic Resection
J Gastroenterol Hepatol. 2013;28(6):924–30. 12198. 3. Sgouros SN, Bergele C. Endoscopic ultrasonography versus other diagnostic modalities in the diagnosis of choledocholithiasis. Dig Dis Sci. 2006;51(12):2280– 6. 1007/s10620-006-9218-x. 4. Zhang XL, Jin ZD. Current status of endoscopic ultrasonography in the diagnosis of gastrointestinal tract. J Diagn Concepts Pract. 2012;11(5):441–6. 5. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002.
3) If sedation is not enough, it may cause perforation, especially in esophagus or fundus of stomach. Area suitable for hook knife dissection: back wall of upper gastric body, lesser curvature and back and front wall of middle and lower part of gastric body, anterior and back wall of antrum Area suitable for skilled doctors: cardia and fornix of stomach, greater curvature of upper and lower part of stomach body, pylorus ring ESD beginner should use hook knife under the supervision of an experienced doctor, and use for the lesion less than 2 cm without ulcer.
The well recognized morphology classification is Kudo’s Pit Pattern  (Fig. 15) and capillary pattern (CP) classification proposed by Sano  (Fig. 16). Kudo’s pit pattern type I is normal mucosa. Type II includes stellar or papillary pits, and these pits always indicate hyperplasia (Fig. 17). Type IIIs includes small tubular or round pit that are smaller than normal pits, and they indicate adenoma in 73 % or intramucosal adenocarcinoma in 28 % of these lesions. Such lesion are amenable endoscopic resection.