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Mucosectomie œsophagienne

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Deprez, Pierre Henri [UCL]

Endoscopic mucosal resection was developed in Eastern countries as a curative treatment for superficial carcinomas in the stomach and oesophagus. Experience in Western countries is more recent and limited due to less frequent diagnosis of early gastric cancers compared to the Japanese and Asian populations and to more frequent use of ablation techniques such as argon plasma coagulation and photodynamic therapy in pre-neoplastic lesions and superficial tumours. This review summarizes the methodology, diagnostic and therapeutic indications, complications and results in the oesophagus. Several methods are described such as lift and cut resection, cap assisted aspiration and band ligation mucosectomy, and endoscopic submucosal dissection. Local results in more than 120patients managed with endoscopic resection of oesophageal high grade intraepithelial neoplasia or squamous cell carcinoma and Barrett's epithelium high grade dysplasia or adenocarcinoma furthermore demonstrate the safety and effectiveness of endoscopic resection practiced in experienced centers.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2008
Language Français
Journal information "Acta Endoscopica" - Vol. 38, no. 2, p. 149-158 (2008)
Peer reviewed yes
Publisher Endoscopica (Nancy)
issn 0240-642X
e-issn 1765-3134
Publication status Publié
Affiliation UCL - MD/MINT - Département de médecine interne
Keywords endoscopic mucosal resection (EMR) ; endoscopic submucosal dissection (ESD) ; mucosectomy ; oesophagus
Links
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Bibliographic reference Deprez, Pierre Henri. Mucosectomie œsophagienne. In: Acta Endoscopica, Vol. 38, no. 2, p. 149-158 (2008)
Permanent URL http://hdl.handle.net/2078.1/36666