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[ColonTODAY 115. Cold snare polypectomy]

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Endoscopic snares. ³ë¿øÀ»Áöº´¿ø ¼º°á

2022-6


Cold snare polypectomy°¡ 4-9mm Å©±â ¿ëÁ¾ ÀýÁ¦¼úÀ» Ç¥ÁØÀ¸·Î ÀÚ¸®Àâ°í ÀÖ´Â ½Ã´ëÀÔ´Ï´Ù. ¿ì¸®³ª¶ó¿¡¼­´Â ÇÑ È¯ÀÚ¿¡¼­ µÎ °³ÀÇ snare¸¦ »ç¿ëÇÒ ¼ö ¾ø´Â ½É»ç Æò°¡ ±âÁØÀÌ ÀÖ½À´Ï´Ù. µû¶ó¼­ cold snare polypectomy Àü¿ë snare´Â ÀÚ¸®ÀâÁö ¸øÇÏ°í ÀÖ½À´Ï´Ù. ´ëºÎºÐÀÇ º´¿ø¿¡¼­ cold snaring¿Í hot snaringÀ» ¸ðµÎ ÇÒ ¼ö ÀÖ´Â hybrid snare°¡ »ç¿ëµÇ°í ÀÖ½À´Ï´Ù. 2021³â 6¿ù 2ÀÏ web seminar¿¡¼­ "»ï¼º¼­¿ïº´¿ø¿¡¼­´Â ¾î¶² cold snare¸¦ ÁÖ·Î »ç¿ëÇÏ°í ÀÖ½À´Ï±î?"¶ó´Â Áú¹®ÀÌ ÀÖ¾ú´Âµ¥ Á¦°¡ ´äº¯ÇÏÁö ¸øÇß½À´Ï´Ù. Àá±ñ ¾Ë¾Æº¸¾Ò½À´Ï´Ù.

Cold snare polypectomy Àü¿ë snare´Â »ç¿ëÇÏÁö ¾Ê°í ÀÖ½À´Ï´Ù.

Hybrid snare´Â µÎ ȸ»ç Á¦Ç°À» »ç¿ëÇÏ°í ÀÖ½À´Ï´Ù. °¡Àå ¸¹ÀÌ »ç¿ëÇÏ´Â °ÍÀº Olympus »çÀÇ SnareMater Plus SD-400U-15¶ó´Â ¸ðµ¨Àε¥ Á÷°æ 15mm, 6°¢Çü ¸ð¾çÀÇ °¢Áø snareÀÔ´Ï´Ù. ȸÀüÀº ºÒ°¡´ÉÇÕ´Ï´Ù. °°Àº ȸ»çÀÇ 10mm Á¦Ç°µµ µå¹°°Ô »ç¿ëµÇ°í ÀÖ½À´Ï´Ù. µÎ¹ø° Á¦Ç°Àº BMA»çÀÇ BMAcure Polypectomy SnareÀÔ´Ï´Ù. O»ç¿Í °¢ÀÌ ¾ø´Â µÕ±Ù Á¦Ç°À̸ç ȸÀüÇÒ ¼ö ÀÖ´Ù´Â ÀåÁ¡ÀÌ ÀÖ½À´Ï´Ù. 15mm¿Í 10mm Á¦Ç°ÀÌ ÀÖ½À´Ï´Ù.

FineMedix¿Í M I Tech »ç Á¦Ç°µµ pilot test¸¦ ÇÑ ¹Ù Àִµ¥ ¾ÆÁ÷ Á¤½ÄÀ¸·Î µµÀÔÇÏÁö´Â ¾Ê¾Ò½À´Ï´Ù.

ÃÖ±Ù¿¡´Â 10mm ÀÌ»óÀÇ ¿ëÁ¾µµ injection ÈÄ cold snaringÀ¸·Î multiple piecemeal resectionÀ» ÇÏ´Â °æ¿ìµµ ÀÖ´Ù°í ÇÕ´Ï´Ù.


[Snare¿¡ ´ëÇÏ¿©]

ÀϺ»ÀεéÀÇ ¼¶¼¼ÇÔÀº ³î¶ø±â ±×Áö ¾ø½À´Ï´Ù. Snare¿¡ ´ëÇÑ ÀڷḦ ã´Ù°¡ ÀÏÀü¿¡ ±¸ÀÔÇØ µÐ Ã¥¿¡ »ó¼¼ÇÑ ¼³¸íÀÌ ÀÖ´Â °ÍÀ» ¹ß°ßÇÏ¿´½À´Ï´Ù. ÀϺ»¾î¸¦ Àß ¸ð¸£´Â Àú¿¡°Ô´Â ±×¸²ÀÇ ¶±ÀÌÁö¸¸... ÀÏ´Ü ¼Ò°³ÇÕ´Ï´Ù. °¡³ª Á¤µµ¹Û¿¡ ¸ø ÀÐÁö¸¸ ±×·¡µµ µµ¿òÀº µË´Ï´Ù. ¾Æ·¡ ±×¸²À» clickÇØ º¸¼¼¿ä.

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[References]

1) EsoTODAY - ½ÊÀÌÁöÀåÁúȯ Áõ·ÊÅäÀÇ

2) SmallTODAY - ¼ÒÀåÁúȯ Áõ·ÊÅäÀÇ

3) ColonTODAY - ´ëÀåÁúȯ Áõ·ÊÅäÀÇ

4) Dr. Sinn's LiverTODAY - °£Áúȯ Áõ·ÊÅäÀÇ

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2021-6-4)