endoscopic shleshmam vichchaedana

endoscopic shleshmam vichchaedana anedi jeernavyavasthalo kanipinche cancer ledhaa itara asaadhaarana gayalanu tolaginchadaaniki upayoginche oka saanketikata. idhi mucosectomy cheyadaaniki oka paddhati.
annadaatala kosam.
prarambha esophagial cancerlaku (antey, uparitala mariyu shleshmaaniki matrame parimitam cheyabadinavi) endoscopic shleshmam vichhedanaanni soochinchabadindi mariyu prarambha polusula kana cancerku takkuva haanikaramaina, surakshitamaina mariyu prabhaavavantamaina chikitsagaa choopabadindi. barret annavaahikalo utpannamayye prarambha adenocarcinomacu idhi surakshitamainadi mariyu prabhaavavantamgaa untundani kooda choopabadindi. eee paddhatitoe chikitsa tarvaata rooga niruupana shastrachikitsa vichchaedaanitoe polchavachhu. eee saanketikatanu nodal ledhaa suduura metastagelaku aadharalu laeni rogulalo, koddigaa paiki lechina mariyu 2 centimeters kante takkuva vyaasangala vibhina kanitulato ledhaa vranotpatti mariyu 1 centimeters kante takkuva vyaasangala vibhina kanitulalo prayatninchavacchu. endoscopic shleshmam vichchaedanaaniki saadhaaranamgaa upayoginche paddhatulalo strip biopsy, double-snare polypectomy, adhika saandrata kaligina lavanam mariyu epinephrine yokka samyukta upayogamtho vichchaedana, mariyu topeeni upayoginchi vichchaedanaalu unnaayi.
annavahika cancer yokka endoscopic shleshmam vichchaedana kosam strip biopsy paddhatini grosping forceps mariyu valatho kuudina double-chaanal endoscopto nirvahistaaru. gaayam anchunu electric cogulatortho gurtinchina taruvaata, kandara pora nundi gayanni vaeru cheyadaaniki mariyu daani poduchunu balavantam cheyadaaniki gaayam krinda unna submucosaloki lavaneeyam inject cheyabadutundi. grosping forceps ucchu loop gundaa velataayi. gaayam chuttoo unna shleshmam electrocottery dwara grahinchabadutundi, ettabadutundi mariyu gonthu nulimi vaeru cheyabadutundi. endoscopic double-snare polypectomy paddhati poduchukunna gaayaala kosam suuchimchabadutumdi. double-chaanal paridhini upayoginchi, gayanni modati vala dwara pattukuni paiki ettabadutundi mariyu puurti vichchaedana kosam rendava valatho gonthu nulimi champabadutundi.
kendrikruta lavanam mariyu epinephrine injectiontho endoscopic vichhedanam double-chaanal paridhini upayoginchi nirvahinchabadutundi. gaayam anchulu gaddakattadamtho gurtinchabadataayi. gayanni kaligi unna praantaanni ubbadaaniki mariyu gurtulanu spashtam cheyadaaniki adhika saandrata kaligina lavanam mariyu epinephrine submucosal poraloki (15-20 ml) inject cheyabadataayi. sarihaddu velupala unna shleshmam adhika-frequency scalpel upayoginchi submucosal pora yokka lothu varaku tolaginchabadutundi. vicchinnamaina shleshmam paiki ettabadi, forceplatho pattukobadutundi, gayanni ucchu thoo bandhinchi, gonthu nulimi, aapai electrocottery dwara vichchinnam cheyabadutundi.
endoscopic shleshmam vichchaedana maroka paddhati topi lopala spashtamaina topi mariyu loop chesina valanu upayogistundi. choppinchina taruvaata, topeeni gayampai unchutaaru mariyu gayanni kaligi unna shleshmam aspiration dwara topi lopala geeyabadutundi. shleshmam vala dwara pattubadi, gonthu nulimi, chivaraku electrocottery dwara vaeru cheyabadutundi. dheenini "byaand und snare" ledhaa "suck und cutt" technic antaaru. kaniti dandayaatra lothu, vibhajana anchu mariyu saadhyamayye vascular prameyam nirdhaarana kosam vichchinnam chesina namuunaanu tirigi pondutaaru mariyu suukshma pareeksha kosam samarpistaaru. phalitamgaa vachhe "pundu" moodu varallo nayam avutundi.
esophagial adenocarcinomacu purvagaamigaa telisina gaayamaina barret annavaahikalooni polypoid dysplastic ledhaa praanaantaka gayalanu tolaginchadaaniki ledhaa puurtigaa chikitsa cheyadaaniki kooda endoscopic shleshma vichhedanam upayoginchavacchu. germany nundi vacchina praathamika nivedikalo, barret annavaahikalo prarambha adenocarcinomas kosam photodynamic therapy taruvaata praathamika chikitsa ledhaa anubandha chikitsagaa dheenini nirvahinchaaru. suck und cutt" saanketikata (mundu seline injectiontho mariyu lekunda), alaage "byaand und cutt" saanketikata upayoginchabadindi. anni kanitulanu ibbandi lekunda vaeru chesinappatiki, 12.5% raktasraavam abhivruddhi chendindi (idhi endoscopic therapy dwara vijayavantamgaa nirvahinchabadindi). enabhai okka saatam gayalu puurtigaa vaeru cheyabaddaayi. itara gayalaku kooda itara endoscopic paddhathulatho chikitsa chesaaru.
endoscopic shleshmam vichchaedana pradhana samasyalalo shastrachikitsa anantara raktasraavam, randhraalu mariyu drudhatvam erpadatam unnaayi. prakriya samayamlo, adhika-frequency gaddakattadam ledhaa clippingtho paatu kandaraala godaloki 1:100,000 paluchana epinephrine injection nuu haemostasis kosam raktasraavam binduvuku vartinchavachhu. operation tarvaata raktasraavam jaragakunda nirodhinchadaaniki aamlanni tagginche mandulanu ivvadam chaalaa mukhyam. gaayam unna shleshmamnu penchadaaniki taginanta lavaneeyam injection thoo randhraalanu nivaarinchavacchu. naan lifting saine" mariyu ucchu gaayam gonthu nulimivesinappudu noppi yokka firyadulu prakriya cheyadaaniki viruddhamgaa untaayi. randhram ventane gurtinchabadinappudu, randhram clipla dwara moosiveyabadaali. endoscopic closure vaiphalyam sandarbhaalalo shastrachikitsanu pariganinchaali. samasyala sambhavam 0-50% nundi mariyu annavahika polusula kana cancer punaraavrutamayye paridhi 0-8% varaku untundi.
peddapregu mariyu pureeshanaalam kosam.
endoscopic shleshmam vichchaedana mariyu submucosal vichchaedana kooda vichchaedana ledhaa pedda, praanaantaka kaani colorectal polypse mariyu uparitala (dasha (dasha invasive colorectal cancerlaku atyanta prabhaavavantamaina paddhatulu. australian consortium dwara endoscopic shleshmam vichchaedanampai atipedda adhyayanamlo 1000 kesulu mariyu deerghakaalika nigha unnaayi. 79 nayam cheyaleni gayalanu minahaayinchina taruvaata, migilina vatiki endoscopic shleshmam vichchaedana dwara chikitsa chesaaru. mottam meeda 98.1% rendu roundla (saadhaaranamgaa 6 mariyu 18 nelala) phaalo up mugimpulo vyaadhi rahitamgaa unnaayi. pregu yokka pedda, invasive kaani polypse yokka shastrachikitsa vibhajanatho poliste endoscopic shleshmam vibhajana takkuva khareedainadi mariyu surakshitamainadigaa choopabadindi.
endoscopic shleshmam vichchaedanaaniki naipunhyam saadhinchadaaniki sikshana avasaram. praaveenyam saadhinchadaaniki kaneesam 100 vidhanalu avasaramani maayo clinic florida group nivedinchindi. united statesloni aneka kendraalu ippudu adhika-naanhyata, adhika-parimaana colorectal endoscopic shleshma vichhedanam andistunnaayi.

