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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 437 - 445 (9page)
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초록· 키워드
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Long-standing intestinal inflammation in patients with inflammatory bowel disease (IBD) induces dysplastic change in the intestinal mucosa and increases the risk of subsequent colorectal cancer. The evolving endoscopic techniques and technologies, including dye spraying methods and high-definition images, have been replacing random biopsies and have been revealed as more practical and efficient for detection of dysplasia in IBD patients. In addition, they have potential usefulness in detailed characterization of lesions and in the assessment of endoscopic resectability. Most dysplastic lesions without an unclear margin, definite ulceration, non-lifting sign, and high index of malignant change with suspicion for lymph node or distant metastases can be removed endoscopically. However, endoscopic resection of dysplasia in chronic IBD patients is usually difficult because it is often complicated by submucosal fibrosis. In patients with dysplasias that demonstrate submucosa fibrosis or a large size (≥20 mm), endoscopic submucosal dissection (ESD) or ESD with snaring (simplified or hybrid ESD) is an alternative option and may avoid a colectomy. However, a standardized endoscopic therapeutic approach for dysplasia in IBD has not been established yet, and dedicated specialized endoscopists with interest in IBD are needed to fully investigate recent emerging techniques and technologies.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
ASGE Technology Committee / 2014 / High-definition and high-magnification endoscopes / Gastrointest Endosc 80 : 919 ~ 927
Bernstein CN / 2001 / Cancer risk in patients with inflammatory bowel disease: a population-based study / Cancer 91 : 854 ~ 862
Blackstone MO / 1981 / Dysplasia-associated lesion or mass (DALM) detected by colonoscopy in long-standing ulcerative colitis: an indication for colectomy / Gastroenterology
Devroede G / 1976 / On calculating cancer risk and survival of ulcerative colitis patients with the life table method / Gastroenterology 71 : 505 ~ 509
Ekbom A / 1990 / Increased risk of large-bowel cancer in Crohn’s disease with colonic involvement / Lancet 336 : 357 ~ 359
Bernstein CN / 2001 / Cancer risk in patients with inflammatory bowel disease: a population-based study / Cancer 91 : 854 ~ 862
Blackstone MO / 1981 / Dysplasia-associated lesion or mass (DALM) detected by colonoscopy in long-standing ulcerative colitis: an indication for colectomy / Gastroenterology
Devroede G / 1976 / On calculating cancer risk and survival of ulcerative colitis patients with the life table method / Gastroenterology 71 : 505 ~ 509
Ekbom A / 1990 / Increased risk of large-bowel cancer in Crohn’s disease with colonic involvement / Lancet 336 : 357 ~ 359
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