Hemostasis mo: mucosal / submucosal. Ko te hinganga <3cm, he mate toto / Atteries <2mm, nga papa whakangungu, te kati o te GI maamaa i whakamahia ai te miihini toto
Āhua | Rahi whakatuwhera (MM) | Te roa mahi (mm) | Endoscopic Channel (MM) | Āhuatanga | |
Zrh-hca-165-9-l | 9 | 1650 | ≥2.8 | Gastro | Waituhi kairau |
Zrh-hca-165-12-l | 12 | 1650 | ≥2.8 | ||
Zrh-hca-165-15-l | 15 | 1650 | ≥2.8 | ||
Zrh-hca-235-9-l | 9 | 2350 | ≥2.8 | Kokoru | |
Zrh-hca-235-12-l | 12 | 2350 | ≥2.8 | ||
Zrh-hca-235-15-l | 15 | 2350 | ≥2.8 | ||
Zrh-hca-165-9-s | 9 | 1650 | ≥2.8 | Gastro | Paruparu |
Zrh-hca-165-12-12-s | 12 | 1650 | ≥2.8 | ||
Zrh-hca-165-15-s | 15 | 1650 | ≥2.8 | ||
Zrh-hca-235-9-s | 9 | 2350 | ≥2.8 | Kokoru | |
Zrh-hca-235-12-s | 12 | 2350 | ≥2.8 | ||
Zrh-hca-235-15-s | 15 | 2350 | ≥2.8 |
Te whakamahinga haumanu
Ka taea te whakanoho i te hemooclip i roto i te paparanga-whekau (GI) hei kaupapa mo te hemossasis mo:
Ko nga ngoikoretanga o Mucosal / Fucosal <3 cm
Ko te mate toto, -1orries <2 mm
Polyps <1.5 cm te diameter
Averticula i roto i te #colon
Ka taea te whakamahi i tenei topenga hei tikanga taapiri mo te kati i te GI Tract Lumeal Luminal Luminal Luminal Luminal <20 mm ranei mo te tohu #endoscopic.
Emr me Esd i ahu mai i te take mai i te takenga mai, me rite nga ahuatanga hangarau. He rerekee a Emr e whai ake nei:
Ko te ngoikoretanga o te EMR ko te mea he iti noa te rahi o nga riihi o te reeti i raro i te endoscopy (iti iho i te 2cm). Mena he nui ake te riihi i te 2cm, me whakahoki mai i nga poraka, kaore i te oti te maimoatanga o te taha o te kopa, a kaore i te tika te mahi o te pa o te postologrative.
Heoi, ka whakarahihia e te taputapu ESD nga tohu o te whakaoranga endoscopic. Mo nga riihi nui ake i te 2cm, ka taea hoki te tango katoa. Kua riro hei huarahi whai hua mo te maimoatanga o te mate pukupuku o te gastrointestinal me nga riihi.
I tenei wa, ko te EMR me te ESD e whakamahia whānuitia ana i te wahanga me te maimoatanga o te endoscopy koretake.
Ko te hangarau EmR me te ESD te kaipatu i te rongoa o tendoscopic, a kua riro hei tikanga nui o te maimoatanga ohorere o te mate pukupuku gastrointestina me nga riihi. E whakaponohia ana ko nga taputapu EMR me nga EMR me te EMR me te ESD ka taea e te EMRoscopy te waihanga i te uara hauora mo te hauora o nga tangata kei te heke mai.