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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 120 - 128 (9page)
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Dysplasia is a precancerous lesion of colorectal cancer in patients with long-standing inflammatory bowel diseases (IBDs), suchas ulcerative colitis and Crohn’s disease. Recent guidelines suggest endoscopic resection as a key modality for the treatment ofendoscopically resectable dysplasia in patients with colitis. Endoscopic submucosal dissection (ESD) has been suggested as one ofthe therapeutic options for dysplasia that is potentially resectable but not suitable for the conventional endoscopic mucosal resectiontechnique. Several recent studies supported the feasibility of ESD for the treatment of colitis-associated dysplasia in terms of the enbloc and complete resection rates and the risk of procedure-related complications. However, these studies were performed exclusivelyin expert centers. Moreover, the local and metachronous recurrence rates were relatively high, and long-term outcome data are stilllacking. Endoscopists should be highly skilled in colorectal ESD and have an intensive understanding of not only the lesions butalso the conditions of patients with IBDs. Therefore, the decision to perform ESD for colitis-associated dysplasia should be madescrupulously after careful discussion with patients, in collaboration with a multidisciplinary IBD team including physicians, surgeons,and pathologists specialized in IBDs.
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등록된 정보가 없습니다.
참고문헌 (54)
참고문헌 신청
Jess T / 2012 / Risk of colorectal cancer in patients with ulcerative colitis : a meta-analysis of population-based cohort studies / Clin Gastroenterol Hepatol 10:639~645
Ruben J. Colman / 2016 / Histological inflammation increases the risk of colorectal neoplasia in ulcerative colitis: a systematic review / Intestinal research 14(3):202~210
Wong Zhiqin / 2014 / Inflammatory Bowel Disease-related Colorectal Cancer in the Asia-Pacific Region: Past, Present, and Future / Intestinal research 12(3):194~204
Velayos F / 2017 / Changing paradigms in detection of dysplasia and management of patients with inflammatory bowel disease : is colectomy still necessary / Gastroenterology 152:440~450
Rubin PH / 1999 / Colonoscopic polypectomy in chronic colitis : conservative management after endoscopic resection of dysplastic polyps / Gastroenterology 117:1295~1300
Ruben J. Colman / 2016 / Histological inflammation increases the risk of colorectal neoplasia in ulcerative colitis: a systematic review / Intestinal research 14(3):202~210
Wong Zhiqin / 2014 / Inflammatory Bowel Disease-related Colorectal Cancer in the Asia-Pacific Region: Past, Present, and Future / Intestinal research 12(3):194~204
Velayos F / 2017 / Changing paradigms in detection of dysplasia and management of patients with inflammatory bowel disease : is colectomy still necessary / Gastroenterology 152:440~450
Rubin PH / 1999 / Colonoscopic polypectomy in chronic colitis : conservative management after endoscopic resection of dysplastic polyps / Gastroenterology 117:1295~1300
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