KẾT QUẢ BƯỚC ĐẦU TRIỂN KHAI KỸ THUẬT CẮT DƯỚI  NIÊM MẠC QUA NỘI SOI TẠI KHOA NỘI TIÊU HÓA  BỆNH VIỆN QUÂN Y 175

Dũng Hoàng Anh; Bình Phạm Thanh; Hải Nguyễn Đức; Anh Trần Ngọc Tú; Nga Nguyễn Thị Hằng; Phương Mai Hà; Sang Nguyễn Văn; Dũng Nguyễn Thế; Thúy Nguyễn Lưu Phương

doi:10.59354/ydth175.2025.365

Keywords:

Endoscopic Submucosal Dissection, submucosal tumor, polyp

Abstract

Endoscopic Submucosal Dissection (ESD) is an advanced treatment method for early-stage gastrointestinal cancers. Since the implementation of ESD at the Gastroenterology Department of 175 Military Hospital, several cases have been successfully treated. In this study, we present three cases of patients with lesions located in the rectum, esophagus, and stomach. The first patient, a 41-year-old male, had a submucosal tumor in the esophagus; the second patient, a 60-year-old female, had a submucosal tumor in the gastric antrum and the third patient a 55-year-old male, had a rectal polyp. All patients were treated with ESD for complete removal of the lesions, avoiding more extensive surgery and associated complications. The treatment outcomes showed rapid recovery, with patients discharged within 2-5 days and without significant complications.

References

Bourke M. J., Neuhaus H., Bergman J. J. (2018), “Endoscopic Submucosal Dissection: Indications and Application in Western Endoscopy Practice”, Gastroenterology, 154(7), 1887-1900.e5.

Kim S. G., Ji S. M., Lee N. R. et al. (2017), “Quality of Life after Endoscopic Submucosal Dissection for Early Gastric Cancer: A Prospective Multicenter Cohort Study”, Gut Liver, 11(1), 87-92.

Sawas T., Visrodia K. H., Zakko L. et al. (2018), “Clutch cutter is a safe device for performing endoscopic submucosal dissection of superficial esophageal neoplasms: a western experience”, Dis Esophagus, 31(11).

Bộ Y tế (2014), “Nội soi can thiệp - cắt hớt niêm mạc ống tiêu hóa điều trị ung thư sớm”, Quyết định về việc ban hành tài liệu “hướng dẫn quy trình kỹ thuật nội khoa, chuyên ngành tiêu hóa”, Quyết định số: 3805/QĐ-BYT.

Yamashina T., Takeuchi Y., Nagai K. et al. (2017), “Scissor-type knife significantly improves self-completion rate of colorectal endoscopic submucosal dissection: Single-center prospective randomized trial”, Dig Endosc, 29(3), 322-329.

Ponsaing L. G., Kiss K., Hansen M. B. (2007), “Classification of submucosal tumors in the gastrointestinal tract”, World J Gastroenterol, 13(24), 3311-5.

Huang E., Sarin A. (2016), “Colonic Polyps: Treatment”, Clin Colon Rectal Surg, 29(4), 306-314.

Uraoka T., Ishikawa S., Kato J. et al. (2010), “Advantages of using thin endoscope-assisted endoscopic submucosal dissection technique for large colorectal tumors”, Dig Endosc, 22(3), 186-91.

Fukami N. (2023), “Endoscopic Submucosal Dissection in the Esophagus: Indications, Techniques, and Outcomes”, Gastrointest Endosc Clin N Am, 33(1), 55-66.

Probst A., Pommer B., Golger D. et al. (2010), “Endoscopic submucosal dissection in gastric neoplasia - experience from a European center”, Endoscopy, 42(12), 1037-44.

Chang Jin Won, Jung Da Hyun, Park Jun Chul et al. (2020), “Long-Term Outcomes and Prognostic Factors of Endoscopic Submucosal Dissection for Early Gastric Cancer in Patients Aged ≥75 Years”, Cancers, 12(11), 3222, https://www.mdpi. com/2072-6694/12/11/3222.

Ogiyama H., Kato M., Yamaguchi S. et al. (2024), “Efficacy of prophylactic clip closure in reducing the risk of delayed bleeding after colorectal endoscopic submucosal dissection in patients on anticoagulant therapy: Multicenter prospective study”, Dig Endosc.

Ogiyama H., Tsutsui S., Murayama Y. et al. (2018), “Prophylactic clip closure may reduce the risk of delayed bleeding after colorectal endoscopic submucosal dissection”, Endosc Int Open, 6(5), E582-e588.