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EndoTODAY ³»½Ã°æ ±³½Ç


[È®´ëÀûÀÀÁõ Áõ·Ê 2 - ³Ê¹« ½±°Ô »ý°¢ÇÏÁö ¸¿½Ã´Ù. ESD´Â ½±Áö ¾Ê½À´Ï´Ù.]

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1Â÷ ÀÇ·á±â°üÀ̳ª °ÇÁø¼¾ÅÍ¿¡¼­ ÀÇ·Ú¹ÞÀº ȯÀÚ Áß '³ª´Â ´ç¿¬È÷ ³»½Ã°æÀ¸·Î ½±°Ô Ä¡·á¹ÞÀ» ¼ö ÀÖ´Ù'°í »ý°¢ÇÏ°í ¿À´Â ºÐµéÀÌ °è½Ê´Ï´Ù. ±Ë¾çÇüÀ̰ųª signet ring cell carcinoma ȤÀº poorly differentiated adenocarcinomaÀε¥µµ ³»½Ã°æÀ¸·Î ½±°Ô Ä¡·á¹ÞÀ» °ÍÀ¸·Î ¼³¸íÀ» µè°í ¿À´Â ºÐµéÀÌ °è½Ê´Ï´Ù. Àú´Â ±ô¦ ³î¶ø´Ï´Ù. µÎ °¡Áö ÀÌÀ¯·Î ³î¶ø´Ï´Ù.

(1) ESD´Â °áÄÚ ½±Áö ¾Ê½À´Ï´Ù. °³º¹¼ö¼ú¿¡ ºñÇÏ¿© less invasiveÇÏ´Ù´Â Á¡¿¡´Â µ¿ÀÇÇÕ´Ï´Ù. ±×·¯³ª ESD°¡ mortality-free procedure´Â ¾Æ´Õ´Ï´Ù. ºÐ¸í »ç¸Á·Ê°¡ ÀÖ½À´Ï´Ù. ÇÕº´Áõµµ ¸¸¸¸Ä¡ ¾Ê½À´Ï´Ù. ½Ã¼úÀÌ ¾î·Á¿î °æ¿ìµµ ¸¹°í, incomplete resection ¿¹µµ ÀûÁö ¾ÊÀ¸¸ç, Ãß°¡ÀûÀÎ ¼ö¼úÀÌ ÇÊ¿äÇÑ È¯ÀÚµµ Á¦¹ý ÀÖ½À´Ï´Ù. Àú´Â ¸Å¿ì ÁøÁöÇÏ°Ô ESD¸¦ ½ÃÇàÇÏ°í ÀÖ½À´Ï´Ù. Çѹøµµ ½±´Ù°í »ý°¢ÇÑ ÀûÀÌ ¾ø½À´Ï´Ù. ±×·±µ¥ ½±°Ô Ä¡·á¹ÞÀ» °ÍÀ̶ó´Ï......

(2) Absolute indication¿¡ ´ëÇÑ ESD¿¡ ¹Ý´ëÇÏ´Â ¸ñ¼Ò¸®´Â °ÅÀÇ ¾ø½À´Ï´Ù. ±×·¯³ª expanded indication¿¡ ´ëÇؼ­´Â ³í¶õÀÌ ¸¹½À´Ï´Ù. ÀϺ»¿¡¼­´Â investigational treatment·Î °£ÁÖÇÏ°í ÀÖ½À´Ï´Ù. ½ÉÆò¿ø¿¡¼­µµ º¸Çè±Þ¿©·Î ÀÎÁ¤ÇÏÁö ¾Ê°í ÀÖ½À´Ï´Ù. Àü¹®°¡µé »çÀÌ¿¡¼­µµ expanded indication¿¡ ´ëÇؼ­ ÀÎÁ¤ÇÏÁö ¾Ê´Â ºÐµéÀÌ ¸¹½À´Ï´Ù. ƯÈ÷ signet ring cell carcinoma³ª poorly differentiated¿¡ ´ëÇؼ­´Â ´õ¿í ±×·¯ÇÕ´Ï´Ù. »óȲÀÌ ÀÌ·²Áøµ¥ '´ç¿¬È÷ ³»½Ã°æÀ¸·Î Ä¡·á¹Þ´Â´Ù'°í ¼³¸íÇÏ´Â °ÍÀº Àû´çÇÑ ÀÏÀÌ ¾Æ´Õ´Ï´Ù. "À§¾ÏÀÌ Áø´ÜµÇ¾ú°í Ä¡·á¹ýÀº »ó±Þº´¿ø¿¡¼­ »óÀÇÇϽñ⠹ٶõ´Ù"°í ¼³¸íÇØÁÖ½Ã¸é °¨»çÇÏ°Ú½À´Ï´Ù. Àý´ëÀûÀÀÁõÀ» ÃÊ°úÇÏ´Â º´¼Ò¿¡ ´ëÇؼ­´Â "³»½Ã°æÄ¡·áÀÇ Àý´ëÀûÀÀÁõÀ» ÃÊ°úÇÏ´Â º´¼ÒÀ̳ª È®´ëÀûÀÀÁõ¿¡´Â Æ÷Ç﵃ ¼ö ÀÖÀ» °Í °°½À´Ï´Ù. »ó±Þº´¿ø ¼±»ý´Ô°ú »óÀÇÇϽʽÿä"¶ó°í ¼³¸íÇØÁÖ½Ã¸é °¨»çÇÏ°Ú½À´Ï´Ù.

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.