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Therapeutic digestive endoscopy I


Authors: Přemysl Falt 1,2;  Ondřej Urban 1
Authors‘ workplace: II. interní klinika – gastroenterologická a hepatologická LF UP a FN Olomouc 1;  II. interní gastroenterologická klinika LF UK v Hradci Králové 2
Published in: Vnitř Lék 2018; 64(6): 684-692
Category: Reviews

Overview

Digestive endoscopy today is able to examine the whole gastrointestinal tract. On the basis of the originally purely diagnostic procedures a range of therapeutic modalities has been developed over years, which in some indications have taken the place of surgical procedures and methods of invasive radiology. Of greatest importance are the methods of endoscopic resection and ablation designed for the treatment of early neoplasms of the digestive tract not accompanied by a significant risk of lymphatic and systemic dissemination. Resection methods include endoscopic polypectomy, endoscopic mucosal resection, endoscopic submucosal dissection and endoscopic transmural resection. Regarding ablation methods, commonly used in clinical practice are radiofrequency ablations in the treatment of dysplasia in Barrett’s esophagus and argon plasma coagulation used in the treatment of symptomatic vascular malformations and small local residual neoplasms.

Key words:

digestive endoscopy – endoscopic ablation – endoscopic mucosal resection – endoscopic polyp­ectomy – endoscopic resection – endoscopic submucosal dissection – endoscopic transmural resection


Sources
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  11. Urban O, Kijonkova B, Kajzrlikova IM et al. Local residual neoplasia after endoscopic treatment of laterally spreading tumors during 15 months of follow-up. Eur J Gastroenterol Hepatol 2013; 25(6): 733–738. Dostupné z DOI: <http://dx.doi.org/10.1097/MEG.0b013e32835eda96>.
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  14. Bourke MJ, Neuhaus H. Colorectal endoscopic submucosal dissection: when and by whom? Endoscopy 2014; 46(8): 677–679. Dostupné z DOI: <http://dx.doi.org/10.1055/s-0034–1377449>.
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  18. Falt P, Štěpán M, Andělová R et al. Kombinace endoskopické slizniční resekce a transmurální resekce v léčbě lokálních reziduálních neoplazií tračníku – popis dvou případů. Rozhl Chir 2017; 96(9): 394–398.
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  20. Schmidt A, Meier B, Cahyadi O et al. Duodenal endoscopic full-thickness resection (with video). Gastrointest Endosc 2015; 82(4): 728–733. Dostupné z DOI: <http://dx.doi.org/10.1016/j.gie.2015.04.031>.
  21. Shaheen NJ, Sharma P, Overholt BF et al. Radiofrequency ablation in Barrett‘s esophagus with dysplasia. N Engl J Med 2009; 360(22): 2277–2288. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa0808145.
  22. Phoa KN, van Vilsteren FG, Weusten BL et al. Radiofrequency ablation vs endoscopic surveillance for patients with Barrett esophagus and low-grade dysplasia: a randomized clinical trial. JAMA 2014; 311(12): 1209–1217. Dostupné z DOI: <http://dx.doi.org/10.1001/jama.2014.2511>.
  23. Martínek J, Falt P, Gregar J et al. Radiofrekvenční ablace v gastrointestinálním traktu – aktuální stav ve světě a v České republice. Gastroenterol Hepatol 2011; 65(5): 279–285.
  24. Kwan V, Bourke MJ, Williams SJ et al. Argon plasma coagulation in the management of symptomatic gastrointestinal vascular lesions: experience in 100 consecutive patients with long-term follow-up. Am J Gastroenterol 2006; 101(1): 58–63. Dostupné z DOI: <http://dx.doi.org/10.1111/j.1572–0241.2006.00370.x>.
  25. Urban O, Chalupa J, Vitek P et al. Treatment of chronic postirradiation proctitis with argon plasma coagulation. Vnitř Lék 2004; 50(3): 218–221.
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