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中华消化病与影像杂志(电子版) ›› 2022, Vol. 12 ›› Issue (06) : 373 -376. doi: 10.3877/cma.j.issn.2095-2015.2022.06.010

综述

第三空间内镜技术临床应用进展
许鹏1, 魏志2,()   
  1. 1. 250098 济南,山东省公共卫生临床中心消化内科
    2. 250022 济南,山东省第二人民医院消化内科
  • 收稿日期:2022-05-19 出版日期:2022-12-01
  • 通信作者: 魏志

Progress in clinical application of third space endoscopy

Peng Xu1, Zhi Wei2,()   

  1. 1. Department of Gastroenterology, Public Health Clinical Center of Shandong Province, Jinan 250098, China
    2. Department of Gastroenterology, Second People′s Hospital of Shandong Province, Jinan 250022, China
  • Received:2022-05-19 Published:2022-12-01
  • Corresponding author: Zhi Wei
引用本文:

许鹏, 魏志. 第三空间内镜技术临床应用进展[J]. 中华消化病与影像杂志(电子版), 2022, 12(06): 373-376.

Peng Xu, Zhi Wei. Progress in clinical application of third space endoscopy[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2022, 12(06): 373-376.

第三空间内镜检查或壁内内镜检查是基于可以通过隧道进入胃肠道的更深层黏膜下空间和维持上覆黏膜的完整性。第三空间内镜检查从经口内镜下肌切开术治疗贲门失弛缓症开始,并已扩展到治疗各种其他胃肠道疾病。该技术目前也用于治疗难治性胃轻瘫、咽食管憩室、黏膜下肿瘤切除、早期胃肠道癌和先天性巨结肠。这些手术正迅速成为传统手术的微创替代方案,被证明安全有效。本文重点介绍第三空间内窥镜在各种胃肠道疾病中的发展和当前应用。

The third space endoscopy or intramural endoscopy is based on the principle that the deeper layers of the gastrointestinal tract can be accessed by tunneling in the submucosal space and maintaining the integrity of the overlying mucosa.The era of third space endoscopy started with peroral endoscopic myotomy for the treatment of achalasia, and has been expanded to treat various other gastrointestinal diseases.The technique is also currently used for treatment of refractory gastroparesis, Zenker′s diverticulum, resection of subepithelial tumors, early cancers of the gastrointestinal tract and Hirschsprung′s disease.These procedures are rapidly emerging as minimally invasive alternatives to conventional surgery, and have been proven to be safe and effective.This review focuses on the evolution and current applications of third space endoscopy in various gastrointestinal diseases.

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