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연속된 이틀 간의 순차적 대장 내시경 점막하박리술로 치료한 동시성 측방 발육형 종양 1예

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Author(s)
김민정이정은김성재김경훈김은수조광범박경식
Keimyung Author(s)
Kim, Eun SooCho, Kwang BumPark, Kyung Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean Journal of Gastroenterology
Issued Date
2010
Volume
56
Issue
3
Keyword
ColonSynchronousLaterally spreading tumorEndoscopic submucosal dissection
Abstract
Endoscopic submucosal dissection (ESD) is an useful therapeutic technique for large gastrointestinal epithelial tumors that it provides an en bloc resection. Although there is some controversy about the role of ESD for colorectal lesions, for large lesions in the distal rectum, ESD has the advantage of preserving anal function. However, the large amount of insufflating gas used during the procedure can cause severe abdominal pain and discomfort. Moreover, high intra-luminal pressure caused by a by large amount of gas can cause a micro-perforation. There is no consensus as to whether ESD is the optimal treatment for synchronous large colorectal laterally spreading tumors (LSTs) that cannot be removed en-bloc by conventional endoscopic mucosal resection. Here, a case with two neighboring synchronous large LSTs, one located in the rectum and the other in the distal sigmoid colon, were sequentially removed by separate ESD procedures performed on two consecutive days in a patient who could not tolerate a long procedure. (Korean J Gastroenterol 2010;56:196-200)

Key Words: Colon; Synchronous; Laterally spreading tumor; Endoscopic submucosal dissection
Alternative Title
A Case of Synchronous Colonic Laterally Spreading
Tumors Treated by Sequential Endoscopic Submucosal
Dissection Performed on Two Consecutive Days
Keimyung Author(s)(Kor)
김은수
조광범
박경식
Publisher
School of Medicine
Citation
김민정 et al. (2010). 연속된 이틀 간의 순차적 대장 내시경 점막하박리술로 치료한 동시성 측방 발육형 종양 1예. Korean Journal of Gastroenterology, 56(3), 196–200. doi: 10.4166/kjg.2010.56.3.196
Type
Article
ISSN
1598-9992
DOI
10.4166/kjg.2010.56.3.196
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34540
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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