I-endoclip yethu isetshenziselwa ukuyeka ukopha kusuka kuma-arteries amancane ngaphakathi kwepheshana lokugaya ukudla.
Izinkomba zokwelashwa zifaka futhi: Izilonda zokugxaza, i-dilerticula ekoloni, ama-liminal magama ancane kune-20 mm.
Isifanekiso | Usayizi wokuvula wesiqeshana (mm) | Ubude obusebenzayo (MM) | Isiteshi se-Endoscopic (mm) | Izici | |
Zrh-hca-165-9-l | 9 | I-1650 | ≥2.8 | Gastro | -Ngahlangene |
Zrh-hca-165-12-l | 12 | I-1650 | ≥2.8 | ||
Zrh-hca-165-15-l | 15 | I-1650 | ≥2.8 | ||
Zrh-hca-235-9-l | 9 | -Budoda | ≥2.8 | Ikholomu | |
Zrh-hca-235-12-l | 12 | -Budoda | ≥2.8 | ||
Zrh-hca-235-15-l | 15 | -Budoda | ≥2.8 | ||
Zrh-hca-165-9-s | 9 | I-1650 | ≥2.8 | Gastro | -Minyele |
Zrh-hca-165-12-s | 12 | I-1650 | ≥2.8 | ||
Zrh-hca-165-15-s | 15 | I-1650 | ≥2.8 | ||
Zrh-hca-235-9-s | 9 | -Budoda | ≥2.8 | Ikholomu | |
Zrh-hca-235-12-s | 12 | -Budoda | ≥2.8 | ||
Zrh-hca-235-15-s | 15 | -Budoda | ≥2.8 |
I-360 ° Clip Clip Degign
Nikeza ukubekwa okuqondile.
Ithiphu ye-Atraumatic
kuvimbela i-endoscopy kumonakalo.
Uhlelo Lokukhishwa Okubucayi
Kulula ukukhulula ukuhlinzekwa kwamaqembu.
Ukuvulwa okuphindaphindwayo nokuvala isiqeshana
ukuma okunembile.
Isibambo Esibunjiwe Ngokwe-Ergonomically
Kuyasebenziseka
Ukusetshenziswa Kwemitholampilo
I-Endoclip ingabekwa ngaphakathi kwephethi ye-gastro-amathumbu (GI) ngenhloso ye-hemostasis ye:
Iphutha le-mucosal / sub-mucosal <3 cm
Izilonda zokufaka ukopha,--Arter <2 mm
Ama-Polyps <1.5 cm ububanzi
Diverticula in #colon
Lesi siqeshana singasetshenziswa njengendlela yokungezelela yokuvalwa kwe-Gi Tract Luminal Foreforculations <20 mm noma umaki we- #ENEROSCOPIC.
Izesekeli ezidingekayo ngokusebenza kwe-EMR zifaka inaliti yokujova, izingibe ze-polypectomy, i-endoclip nedivaysi ye-endovation (uma ikhona) Ukusetshenziswa kwe-EMR nokusebenza okukodwa, kubuye kube namagama-munye ngenxa yemisebenzi yayo ye-hybird. Idivaysi ye-litation ingasiza i-polyp ye-ligeral, futhi esetshenziselwa ukwenziwa kwentambo ngaphansi kwe-endoscop, i-hemoclip isetshenziselwa i-hemostasis endoscopic kanye nokubopha isilonda epheshana le-GI.
Q; Yini i-EMR ne-ESD?
A; I-EMR imele i-endoscopic mucosal resection, inqubo engahlaseli ye-Outpatient kancane yokususa umdlavuza noma ezinye izilonda ezingajwayelekile ezitholakala epheshana lokugaya ukudla.
I-ESD imele ukuhlukaniswa kwe-endoscopic subreacosal, inqubo evumayo engahlaseli esebenzisa i-endoscopy ukususa ama-tumors ajulile avela epheshana esiswini.
Q; EMR noma i-ESD, ukunquma kanjani?
A; EMR kufanele kube ukukhetha kokuqala kwesimo esingezansi:
● Isilonda esingesikhulu e-Esophagus kaBarrett;
● Isilonda esincane sesisu <10mm, ia, isikhundla esinzima se-ESD;
● I-Duodenal Lesion;
● Imibala enemibala engafani ne-granular / engacindezelwanga <20mm noma i-granular lesion.
A; I-ESD kufanele ibe yinketho ephezulu ye:
● I-squamous cell carcinoma (ekuqaleni) ye-esophagus;
● I-carcinoma yakuqala yesibeletho;
● Imibala (engeyona eye-granular / ecindezelekile>
● I-20mm) lesiko.