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Endoscopic Management of Premalignant Lesions
Manage episode 449613346 series 3591778
المحتوى المقدم من Gastroenterology and Endoscopy. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Gastroenterology and Endoscopy أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
The Gastroenterology & Endoscopy Podcast
Episode 147: Endoscopic Management of Premalignant Lesions
Quick Summary:
An evidence-based overview of EMR vs ESD for premalignant lesions, including technique selection, outcomes, and complication rates.
Key Points:
• EMR: Preferred for lesions <15mm, 0.5-1% perforation risk
• ESD: Better for lesions >20mm, 83-98% en bloc resection rate
• Technique selection based on lesion size, location, and suspected invasion
• Watch for delayed bleeding and stricture formation
Essential Reading:
1. ASGE Guidelines on ESD
https://www.asge.org/docs/default-source/guidelines/asge-guideline-on-endoscopic-submucosal-dissection
2. Cleveland Clinic EMR Protocol
https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection
3. Mayo Clinic ESD Guide
https://www.mayoclinic.org/medical-professionals/digestive-diseases/news/esophageal-endoscopic-submucosal-dissection/mac-20552628
Additional Resources:
• Clinical Outcomes Study - https://www.sciencedirect.com/science/article/abs/pii/S0016510712023760
• ESD Technical Analysis - https://pmc.ncbi.nlm.nih.gov/articles/PMC3072634/
• Comparative Review - https://pmc.ncbi.nlm.nih.gov/articles/PMC5824597/
• Technical Developments - https://www.sciencedirect.com/science/article/abs/pii/S0960740422000354
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