밴드결찰술 및 올가미를 이용하여 내시경 점막절제술을 시행한 직장 유암종 3예 |
조영화ㆍ노지훈ㆍ구동영ㆍ유재훈ㆍ김기수ㆍ신영민ㆍ김성훈ㆍ박지은 |
동의의료원 내과 |
Three Cases of Endoscopic Mucosal Resection of Rectal Carcinoid Tumor by Band Ligation and the Snare Resection Technique |
Young Hwa Jo, M.D., Ji Hun Roh, M.D., Dong Young Goo, M.D., Jae Hoon Yoo, M.D., Ki Soo Kim, M.D., Young Min Shin, M.D., Sung Hoon Kim, M.D. and Ji Eun Park, M.D. |
Department of Internal Medicine, Dongeui Medical Center, Busan, Korea |
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Abstract |
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Many reports have shown that endoscopic polypectomy or endoscopic mucosal resection can successfully remove tumor less than 1.0 cm in size. However, most carcinoid tumors in the rectum occur in the submucosal layer so that the entire tumor cannot be completely removed via endoscopic polypectomy or endoscopic mucosal resection. Endoscopic mucosal resection can also cause perforation of the intestinal wall and bleeding. Due to these reasons, instead of these two conventional methods, endoscopic mucosal resection using a ligation device is currently being used for the treatment of rectal carcinoid tumor. Recent studies that used this method have reported that endoscopic mucosal resection of rectal carcinoid tumor by band ligation and the snare resection technique is safe with minimal complications and this is quite useful to completely remove rectal carcinoid tumor. (Korean J Gastrointest Endosc 2010;41:45-51) |
Key Words:
Rectal carcinoid tumor, Band ligation method, Endoscopic mucosal resection |
주요어:
직장 유암종, 내시경 점막절제술, 밴드결찰술 |
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