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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
- 2015.1
- 수록면
- 136 - 141 (6page)
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초록· 키워드
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Background/Aims: Endoscopic mucosal resection (EMR) of large colorectal lesions is associated with increased procedural time. Theobjective of this study was to evaluate the effect of double-channel gastroscope (DCG) use on the procedural time of EMRs in the rectosigmoidarea.
Methods: All EMRs for sessile or flat rectosigmoid lesions ≥2 cm performed between July 2011 and September 2012 were retrospectivelyanalyzed.
Results: There were 55 lesions ≥2 cm in the rectosigmoid area in 55 patients, of which 26 were removed by EMR using a DCG (DCgroup) and 29 by using an ordinary colonoscope or gastroscope (OS group). The mean size of the removed polyps, morphology, adverseeffects, and other parameters were similar between the two groups. The mean procedural time was significantly lower in the DC groupthan in the OS group (24.4±18.3 minutes vs. 36.3±24.4 minutes, p=0.015). Moreover, in a subgroup of patients with polyps >40 mm, thestatistical difference in the mean procedural time between the DC and OS groups was even more pronounced (33±21 minutes vs.
58.7±20.6 minutes, p=0.004).
Conclusions: Our data suggest that the use of a DCG in the resection of large nonpedunculated rectosigmoid lesions significantly reducesthe procedural time.
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참고문헌 (23)
참고문헌 신청
/ 2003 / The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002 / Gastrointest Endosc 58 (6) :
Arebi N / 2007 / Endoscopic mucosal resection of 161 cases of large sessile or flat colorectal polyps / Scand J Gastroenterol 42 : 859 ~ 866
Bergmann U / 2003 / Endoscopic mucosal resection for advanced non-polypoid colorectal adenoma and early stage carcinoma / Surg Endosc 17 : 475 ~ 479
Bories E / 2006 / Endoscopic mucosal resection for advanced sessile adenoma and early-stage colorectal carcinoma / Endoscopy 38 : 231 ~ 235
Brooker JC / 2002 / Treatment with argon plasma coagulation reduces recurrence after piecemeal resection of large sessile colonic polyps: a randomized trial and recommendati
Arebi N / 2007 / Endoscopic mucosal resection of 161 cases of large sessile or flat colorectal polyps / Scand J Gastroenterol 42 : 859 ~ 866
Bergmann U / 2003 / Endoscopic mucosal resection for advanced non-polypoid colorectal adenoma and early stage carcinoma / Surg Endosc 17 : 475 ~ 479
Bories E / 2006 / Endoscopic mucosal resection for advanced sessile adenoma and early-stage colorectal carcinoma / Endoscopy 38 : 231 ~ 235
Brooker JC / 2002 / Treatment with argon plasma coagulation reduces recurrence after piecemeal resection of large sessile colonic polyps: a randomized trial and recommendati
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