IHemostasis ye: Mucosal / Sucyuciasal. Ukuhlulwa <3cm, izilonda ezi-ocering / ama-arteries <2mm, amasayithi wokuhlinzwa, ukuvalwa kokusebenza kwe-GI LUMIN okusetshenziselwa ukwenza imithambo yegazi ngomshini
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 |
Ukusetshenziswa Kwemitholampilo
I-hemoclip ingabekwa ngaphakathi kwephethiloli (GI) eliphelele le-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.
I-EMR ne-ESD ethathwe kwimvelaphi efanayo futhi inezici zobuchwepheshe ezifanayo. Umehluko we-EMR Esd kanjena:
Ububi be-EMR ukuthi lilinganiselwe ngosayizi wezilonda ezibukeki ngaphansi kwe-endoscopy (ngaphansi kuka-2cm). Uma izilonda zikhulu kune-2cm, zidinga ukuphinde ziphinde zivezwe emabhulokini, ukuphathwa kwemikhawulo kwezicubu ezibunjiwe akuphelele, futhi i-pastology pathology ayilungile.
Kodwa-ke, imishini ye-ESD yandisa izinkomba zokuvuselelwa kabusha kwe-endoscopic. Ngezilonda ezinkulu kune-2cm, nazo zingasuswa ngokuphelele. Sekuphenduke izindlela ezisebenzayo zokwelashwa komdlavuza wokuqala wesisu kanye nezilonda ezinomusa.
Njengamanje, i-EMR ne-ESD isetshenziswa kabanzi ekwakheni kabusha nasekwelashweni kwe-endoscopy yokugaya.
Ubuchwepheshe be-EMR ne-ESD ngumbulali wokuvuselelwa kabusha kwe-endoscopic, futhi sekuyindlela ebalulekile yokwelashwa okuhlaselayo komdlavuza wokuqala wesisu kanye nezilonda ezinobuso. Kukholakala ukuthi imishini ye-EMR ne-ESD ne-EMR ne-Escoscopy ye-Esd endoscopy kungadala inani eliphakeme lezokwelapha lezempilo yabantu ngokuzayo.