I-Hemostasis ye-: mucosal/submucosal.Ukwehlulwa kuka-<3cm, ukopha izilonda/imithambo yegazi <2mm, izindawo zokuhlinza,ukuvalwa kokusebenza kwe-GI luminal Isetshenziselwa ukubopha imithambo yegazi
Imodeli | Usayizi wokuvula isiqeshana (mm) | Ubude Bokusebenza (mm) | Isiteshi se-Endoscopic (mm) | Izici | |
I-ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | I-Gastro | Kungagqotshiwe |
I-ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
I-ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Ikholoni | |
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 | I-Gastro | Kuboshwe |
I-ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
I-ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Ikholoni | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Ukusetshenziswa Kwezokwelapha
I-hemoclip ingafakwa ngaphakathi kwepheshana le-Gastro-intestinal (GI) ngenjongo ye-hemostasis:
Ukukhubazeka kwe-mucosal/sub-mucosal <3 cm
Izilonda zokopha, -Imithambo engaphansi kuka-2 mm
Ama-polyps angaphansi kuka-1.5 cm ububanzi
I-Diverticula ku-#colon
Lesi siqeshana singasetshenziswa njengendlela yokwengeza yokuvalwa kwe-GI tract luminal perforations <20 mm noma #endoscopic marking.
I-EMR ne-ESD athathwe emsuka ofanayo futhi anezici ezifanayo zobuchwepheshe.Umehluko we-EMR ESD kanje:
Okubi kwe-EMR ukuthi kunqunyelwe ubukhulu bezilonda ezikhishwayo ngaphansi kwe-endoscopy (ngaphansi kuka-2cm).Uma izilonda zinkulu kune-2cm, idinga ukuphinda ifakwe emabhuloki, ukwelashwa onqenqemeni lwezicubu ezikhishwe akuphelele, futhi i-pathology yangemva kokuhlinzwa ayilungile.
Kodwa-ke, imishini ye-ESD yandisa izinkomba zokukhishwa kwe-endoscopic.Ngezilonda ezinkulu kuno-2cm, zingaphinde zisuswe ngokuphelele.Sekuyindlela ephumelelayo yokwelapha umdlavuza wamathumbu wakuqala kanye nezilonda eziyingozi.
Njengamanje, i-EMR ne-ESD isetshenziswa kabanzi ekukhipheni nasekwelapheni i-endoscopy yokugaya.
Ubuchwepheshe be-EMR kanye ne-ESD bungumbulali wokuhlinzwa kwe-endoscopic, futhi sekuyizindlela ezibalulekile zokwelashwa okungavamisile komdlavuza wamathumbu wangaphambi kwesikhathi kanye nezilonda ezingaphambi komdlavuza.Kukholakala ukuthi imishini ye-EMR ne-ESD kanye ne-EMR ne-ESD endoscopy ingakha inani elikhulu lezokwelapha empilweni yabantu esikhathini esizayo.