结直肠内镜黏膜下剥离术后不良事件的危险因素分析与诊疗进展

Adverse events after colorectal endoscopic submucosal dissection:Review of risk factors and advances in diagnosis and treatment

内镜黏膜下剥离术(ESD)是胃肠道早癌及癌前病变的一种非常重要且有效的治疗方式,且表现出了良好的治疗效果。结直肠由于肠壁薄、空间狭窄、有较大的折叠弯曲和游离性等特点,ESD术后不良事件发生率更高。认识并掌握结直肠ESD不良事件的发生发展、危险因素以及防治措施对提高结直肠ESD的疗效和预后至关重要。

Endoscopic submucosal dissection(ESD)is an effective treatment for cancer and precancerous lesions of the digestive tract,and it has shown a good therapeutic effect.The incidence of adverse events after colorectal ESD is higher because of the thin intestinal wall,narrow space,large folding bending,and dissociation.It is important to improve the efficacy and prognosis of colorectal ESD to understand the features such as occurrence and development,risk factors,prevention and treatment of colorectal ESD adverse events.