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  1 / 397 MEDLINE  
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[PMID]:29397592
[Au] Autor:National Clinical Research Center for Digestive Disease of China; Chinese Society of Digestive Endoscopy; Chinese Association of Endoscopologist, Gastroenterologist & Hepatologist
[Ti] Título:[Clinical guidelines for perioperative management of gastric endoscopic submucosal dissection].
[So] Source:Zhonghua Nei Ke Za Zhi;57(2):84-96, 2018 Feb 01.
[Is] ISSN:0578-1426
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Gastric cancer has become one of the important public health issues endangering people's health in China. Currently, endoscopic submucosal dissection (ESD) has been used as the curative procedure of early gastric cancer without lymph node metastasis. Endoscopic resection has several advantages, including less invasiveness, permitting en bloc, histologically completed resection, accurate pathological diagnosis, lower recurrent rate and rapid recovery. The perioperative period of ESD is the time of a patient's endoscopic operative procedure; more specifically, it includes ward admission, indication, contraindication, preoperative preparation, endoscopic operation, postoperative complications, recovery and the disposal of specimen. The aim of this guideline is to assist endoscopists in providing standardized operation to patients, as well as managing perioperative complications.
[Mh] Termos MeSH primário: Ressecção Endoscópica de Mucosa
Mucosa Gástrica/cirurgia
Guias de Prática Clínica como Assunto
Neoplasias Gástricas/diagnóstico
Neoplasias Gástricas/cirurgia
[Mh] Termos MeSH secundário: China
Detecção Precoce de Câncer
Endoscopia
Seres Humanos
Metástase Linfática
Complicações Pós-Operatórias
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180206
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0578-1426.2018.02.002


  2 / 397 MEDLINE  
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[PMID]:29419676
[Au] Autor:Zheng QF; Li JY; Qin L; Wei HM; Cai LY; Nong B
[Ad] Endereço:Department of Gastroenterology.
[Ti] Título:Gastrointestinal involvement by mantle cell lymphoma identified by biopsy performed during endoscopy: A case report.
[So] Source:Medicine (Baltimore);97(6):e9799, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Primary gastrointestinal mantle cell lymphoma is rare, and histopathological examination and specific immunohistochemical staining are still the gold standard for diagnosis. Therefore, it is necessary to find a new way to improve positive biopsy rates. PATIENT CONCERNS: A 58-year-old man was admitted to our hospital with epigastric pain, abdominal distension, nausea, and melena. Endoscopy identified submucosal neoplasms and diffuse gastrointestinal tract involvement including the esophagus. DIAGNOSES: A false-negative diagnosis was first determined by ordinary endoscopy. However, a large tissue biopsy was subsequently performed using endoscopic mucosal resection based on endoscopic ultrasonography (EUS). Pathological examination of the biopsy specimens taken from the lesions of the duodenum and rectum revealed diffuse lymphocytic proliferation and obscure nodular and small cleaved cells with irregularly shaped nuclei. Immunohistochemistry showed that the cells were positive for CyclinD1, BCL-2, CD20, CD21, and CD5; however, they were negative for CD3, CD6, CD10, and CD43. INTERVENTIONS: The patient refused to receive further treatment. OUTCOMES: Mantle cell lymphoma was conclusively diagnosed. CONCLUSIONS: EUS has an important role in the diagnosis and management of gastrointestinal submucosal tumors. Performing a pathological biopsy including EUS may be useful for identifying the unknown nature of tumors of the digestive tract.
[Mh] Termos MeSH primário: Neoplasias Gastrointestinais
Linfoma de Célula do Manto
[Mh] Termos MeSH secundário: Biópsia/métodos
Ciclina D1/análise
Diagnóstico Diferencial
Duodeno/patologia
Ressecção Endoscópica de Mucosa/métodos
Endossonografia/métodos
Neoplasias Gastrointestinais/diagnóstico
Neoplasias Gastrointestinais/patologia
Neoplasias Gastrointestinais/fisiopatologia
Seres Humanos
Imuno-Histoquímica
Linfoma de Célula do Manto/diagnóstico
Linfoma de Célula do Manto/patologia
Linfoma de Célula do Manto/fisiopatologia
Masculino
Meia-Idade
Reto/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
136601-57-5 (Cyclin D1)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009799


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[PMID]:29406933
[Au] Autor:Sahakian AB; Aslanian HR
[Ad] Endereço:University of Southern California, Keck School of Medicine, Los Angeles, California, USA.
[Ti] Título:Endoscopic submucosal dissection for resection of submucosal tumors of the colon and rectum: Within reach, or the edge of tomorrow?
[So] Source:Gastrointest Endosc;87(2):549-551, 2018 02.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ressecção Endoscópica de Mucosa
Reto
[Mh] Termos MeSH secundário: Colo
Colonoscopia
Seres Humanos
Neoplasias
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29258107
[Au] Autor:Sakurai T; Adachi T; Kono M; Arizumi T; Kamata K; Minaga K; Yamao K; Komeda Y; Takenaka M; Hagiwara S; Watanabe T; Nishida N; Kashida H; Kudo M
[Ad] Endereço:Department of Gastroenterology and Hepatology, Kindai University, Osaka-Sayama, Japan.
[Ti] Título:Prophylactic Suturing Closure Is Recommended after Endoscopic Treatment of Colorectal Tumors in Patients with Antiplatelet/Anticoagulant Therapy.
[So] Source:Oncology;93 Suppl 1:27-29, 2017.
[Is] ISSN:1423-0232
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:The prophylactic closure of mucosal defects after endoscopic resection is known to prevent postoperative bleeding in colorectal lesions. However, closure of large mucosal defects is difficult with conventional clips only, and several closure techniques have been previously described; use of an Endoloop, 8-ring loop, or loop clip and a small incision around the mucosal defect. Given that the prophylactic closure requires much cost and time, the application should be limited to high-risk cases. Medication of antithrombotics or antiplatelet agents would be one of the reasonable indications for prophylactic closure of mucosal defects after endoscopic resection of colorectal tumors.
[Mh] Termos MeSH primário: Anticoagulantes/administração & dosagem
Neoplasias Colorretais/cirurgia
Ressecção Endoscópica de Mucosa/métodos
Mucosa Intestinal/cirurgia
Inibidores da Agregação de Plaquetas/administração & dosagem
Hemorragia Pós-Operatória/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Neoplasias Colorretais/sangue
Neoplasias Colorretais/patologia
Ressecção Endoscópica de Mucosa/efeitos adversos
Seres Humanos
Mucosa Intestinal/patologia
Masculino
Hemorragia Pós-Operatória/etiologia
Técnicas de Sutura
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants); 0 (Platelet Aggregation Inhibitors)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171221
[Lr] Data última revisão:
171221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.1159/000481226


  5 / 397 MEDLINE  
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[PMID]:29258096
[Au] Autor:Okamoto K; Matsui S; Watanabe T; Asakuma Y; Komeda Y; Okamoto A; Rei I; Kono M; Yamada M; Nagai T; Arizumi T; Minaga K; Kamata K; Yamao K; Takenaka M; Sakurai T; Nishida N; Kashida H; Chikugo T; Kudo M
[Ad] Endereço:Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
[Ti] Título:Clinical Analysis of Esophageal Stricture in Patients Treated with Intralesional Triamcinolone Injection after Endoscopic Submucosal Dissection for Superficial Esophageal Cancer.
[So] Source:Oncology;93 Suppl 1:9-14, 2017.
[Is] ISSN:1423-0232
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Endoscopic submucosal dissection (ESD) has been widely used in the resection of superficial esophageal cancers. Since its use has been extended to cases involving large esophageal tumors occupying nearly the whole or the whole circumference of the lumen, the occurrence of esophageal stricture has increased. Although endoscopic injection of triamcinolone (TA) is widely used for the prevention of postoperative stricture, a significant number of patients still develop stricture after TA injection therapy. METHODS: We performed a retrospective study to identify the clinical parameters that predispose post-ESD patients to esophageal stricture after TA injection therapy. RESULTS: A total of 207 patients who were diagnosed with superficial esophageal cancer and subsequently underwent ESD were enrolled in this study. Among these patients, 53 patients and 57 lesions bearing mucosal defects covering greater than two-thirds of the esophageal circumference after ESD were treated with TA injection therapy. The rate of esophageal stricture was found to be highest in cases involving mucosal defects that covered more than seven-eighths of the circumference. CONCLUSION: Endoscopic TA injection is not sufficient for preventing esophageal stricture in patients bearing mucosal defects covering more than seven-eighths of the esophageal circumference after ESD.
[Mh] Termos MeSH primário: Neoplasias Esofágicas/tratamento farmacológico
Neoplasias Esofágicas/cirurgia
Estenose Esofágica/prevenção & controle
Triancinolona/administração & dosagem
[Mh] Termos MeSH secundário: Idoso
Anti-Inflamatórios/administração & dosagem
Ressecção Endoscópica de Mucosa/efeitos adversos
Ressecção Endoscópica de Mucosa/métodos
Estenose Esofágica/etiologia
Feminino
Seres Humanos
Injeções Intralesionais
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents); 1ZK20VI6TY (Triamcinolone)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171221
[Lr] Data última revisão:
171221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.1159/000481223


  6 / 397 MEDLINE  
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[PMID]:29258069
[Au] Autor:Okamoto K; Watanabe T; Komeda Y; Kono T; Takashima K; Okamoto A; Kono M; Yamada M; Arizumi T; Kamata K; Minaga K; Yamao K; Nagai T; Asakuma Y; Takenaka M; Sakurai T; Matsui S; Nishida N; Chikugo T; Kashida H; Kudo M
[Ad] Endereço:Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
[Ti] Título:Risk Factors for Postoperative Bleeding in Endoscopic Submucosal Dissection of Colorectal Tumors.
[So] Source:Oncology;93 Suppl 1:35-42, 2017.
[Is] ISSN:1423-0232
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Colonoscopic removal of adenomatous polyps or early cancer prevents death from colorectal cancer. Endoscopic submucosal dissection (ESD), which enables endoscopists to perform en bloc resection of flat or depressed colorectal tumors >20 mm, has recently been introduced and become a standard procedure in Japan. Although postoperative bleeding (POB) is a major complication associated with ESD, risk factors for POB have not been fully identified. METHODS: A total of 451 patients (509 lesions) who underwent colorectal ESD were retrospectively analyzed to identify clinical parameters associated with POB. RESULTS: POB occurred in 14 patients, and 7 of them had received antithrombotic therapy before ESD. Uni- and multivariate analyses revealed that antithrombotic therapy and rectal tumor location were strongly associated with POB following colorectal ESD. The incidence of POB was higher in patients on heparin bridge therapy (HBT) for the replacement of antithrombotic therapy than in patients with no HBT. Four of 7 patients (57.1%) on antithrombotic therapy experienced POB from the rectal lesions. CONCLUSION: Antithrombotic therapy and rectal lesions result in a higher POB incidence after colorectal ESD.
[Mh] Termos MeSH primário: Neoplasias Colorretais/cirurgia
Ressecção Endoscópica de Mucosa/efeitos adversos
Hemorragia Pós-Operatória/etiologia
[Mh] Termos MeSH secundário: Idoso
Anticoagulantes/administração & dosagem
Neoplasias Colorretais/sangue
Ressecção Endoscópica de Mucosa/métodos
Feminino
Seres Humanos
Masculino
Meia-Idade
Inibidores da Agregação de Plaquetas/administração & dosagem
Hemorragia Pós-Operatória/prevenção & controle
Estudos Retrospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants); 0 (Platelet Aggregation Inhibitors)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171221
[Lr] Data última revisão:
171221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.1159/000481228


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[PMID]:27770376
[Au] Autor:Tsou YK; Liu CY; Fu KI; Lin CH; Lee MS; Su MY; Ohata K; Chiu CT
[Ad] Endereço:Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.
[Ti] Título:Endoscopic Submucosal Dissection of Superficial Esophageal Neoplasms Is Feasible and Not Riskier for Patients with Liver Cirrhosis.
[So] Source:Dig Dis Sci;61(12):3565-3571, 2016 12.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Esophageal endoscopic submucosal dissection (ESD) has rarely been reported for the treatment of cirrhotic patients. AIM: To report the results of ESD treatment of superficial esophageal neoplasms (SENs) for cirrhotic patients. METHODS: Forty patients with 50 consecutive SENs undergoing 46 sessions of ESD were retrospectively reviewed. The cirrhotic group included eight patients (11 SENs) with liver cirrhosis consisting of six patients classified as Child-Pugh class A liver cirrhosis and two patients classified as class B liver cirrhosis. Four patients (6 SENs) had coexisting esophageal varices. Parameters were compared between the cirrhotic patients and the non-cirrhotic controls (32 patients, 39 SENs). RESULTS: Platelet counts of the cirrhotic group were significantly lower, while international normalized ratio was significantly higher. When the cirrhotic group and non-cirrhotic group were compared, the mean tumor length (4 vs. 3.7 cm, p = 0.56) and median procedure time (15.1 vs. 11.5 min/cm , p = 0.30) were similar. The en bloc resection rates were 81.8 and 89.7 % (p = 0.60). Within the cirrhotic group, both lesions without en bloc resection were patients with esophageal varices. The rates of submucosal disease for the cirrhotic group and non-cirrhotic groups were 54.5 and 25.6 % (p = 0.064), respectively, while the R0 resection rates were 77.8 and 94.3 % (p = 0.16), respectively. The two lesions without R0 resection in cirrhotic group had positive vertical but not horizontal margins due to submucosal invasion. Intraprocedural bleeding occurred more frequently in cirrhotic patients than non-cirrhotic patients (18.2 vs. 0 %, p = 0.045). None of the patients suffered from esophageal perforation, postoperative bleeding, or death that was related to the ESD. CONCLUSION: Esophageal ESD seems to be safely and can be effectively performed on cirrhotic patients, particularly those without severe liver dysfunction.
[Mh] Termos MeSH primário: Perda Sanguínea Cirúrgica/estatística & dados numéricos
Carcinoma de Células Escamosas/cirurgia
Ressecção Endoscópica de Mucosa/métodos
Neoplasias Esofágicas/cirurgia
Cirrose Hepática/sangue
[Mh] Termos MeSH secundário: Adulto
Idoso
Carcinoma de Células Escamosas/complicações
Carcinoma de Células Escamosas/diagnóstico por imagem
Carcinoma de Células Escamosas/patologia
Estudos de Casos e Controles
Endossonografia
Neoplasias Esofágicas/complicações
Neoplasias Esofágicas/diagnóstico por imagem
Neoplasias Esofágicas/patologia
Perfuração Esofágica/epidemiologia
Varizes Esofágicas e Gástricas/etiologia
Esofagoscopia
Feminino
Seres Humanos
Coeficiente Internacional Normatizado
Cirrose Hepática/complicações
Masculino
Margens de Excisão
Meia-Idade
Invasividade Neoplásica
Salas Cirúrgicas
Contagem de Plaquetas
Hemorragia Pós-Operatória/epidemiologia
Estudos Retrospectivos
Índice de Gravidade de Doença
Carga Tumoral
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171212
[Lr] Data última revisão:
171212
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE


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[PMID]:29061262
[Au] Autor:Du C; Linghu E
[Ad] Endereço:Department of Gastroenterology and Hepatology, Chinese People's Liberation Army General Hospital, Beijing, China.
[Ti] Título:Treatment of esophageal submucosal tumors: endoscopic submucosal tunneling dissection versus thoracoscopic enucleation.
[So] Source:Gastrointest Endosc;86(5):925, 2017 11.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Neoplasias Esofágicas
Esofagoscopia
[Mh] Termos MeSH secundário: Dissecação
Ressecção Endoscópica de Mucosa
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171025
[St] Status:MEDLINE


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[PMID]:28936593
[Au] Autor:Song EM; Yang HJ; Lee HJ; Lee HS; Cha JM; Kim HG; Jung Y; Moon CM; Kim BC; Byeon JS
[Ad] Endereço:Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
[Ti] Título:Endoscopic Resection of Cecal Polyps Involving the Appendiceal Orifice: A KASID Multicenter Study.
[So] Source:Dig Dis Sci;62(11):3138-3148, 2017 Nov.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Endoscopic resection of polyps located at the appendiceal orifice (AO) is challenging, and the feasibility and outcomes of endoscopic resection for cecal polyps involving AO are unconfirmed. AIMS: We evaluated the feasibility and outcomes of endoscopic resection for cecal polyps involving AO. METHODS: In this retrospective, multicenter study involving nine tertiary referral centers, we evaluated 131 patients who underwent endoscopic resection for cecal polyps involving AO. RESULTS: The median size of polyps resected was 10 mm (range 3-60 mm). Endoscopic mucosal resection, endoscopic piecemeal mucosal resection, and endoscopic submucosal dissection were performed in 75 (57.3%), 31 (23.7%), and 5 (3.8%) patients, respectively. The en bloc resection rate was 68.7%. Endoscopic complete resection was achieved in 123 lesions (93.9%). Intraprocedural and delayed bleeding occurred in 14 (10.7%) and three patients (2.3%), respectively, and perforation occurred in two patients (1.5%). Seven patients (5.3%) underwent additional surgery because of treatment failure or recurrence. Polyps of ≥20 mm in size showed significantly higher rates of perforation and additional surgery (p < 0.05), and a lower rate of en bloc resection (p < 0.005). Patients with polyps involving ≥75% of AO circumference exhibited a significantly lower rate of en bloc resection (p < 0.001), and significantly higher rates of surgery and recurrence (p < 0.05). Recurrence during follow-up occurred in 12 patients (15.6%); polyps involving ≥75% of AO circumference were an independent risk factor for recurrence. CONCLUSION: Endoscopic resection of cecal polyps involving AO is safe and effective in select patients.
[Mh] Termos MeSH primário: Neoplasias do Apêndice/cirurgia
Neoplasias do Ceco/cirurgia
Ressecção Endoscópica de Mucosa/métodos
Pólipos Intestinais/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Neoplasias do Apêndice/patologia
Neoplasias do Ceco/patologia
Ressecção Endoscópica de Mucosa/efeitos adversos
Estudos de Viabilidade
Feminino
Seres Humanos
Pólipos Intestinais/patologia
Masculino
Meia-Idade
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/cirurgia
República da Coreia
Estudos Retrospectivos
Fatores de Risco
Centros de Atenção Terciária
Fatores de Tempo
Resultado do Tratamento
Carga Tumoral
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE
[do] DOI:10.1007/s10620-017-4760-2


  10 / 397 MEDLINE  
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[PMID]:28917342
[Au] Autor:Iyer PG
[Ad] Endereço:Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
[Ti] Título:Endoscopic submucosal dissection in endotherapy for Barrett's esophagus-related dysplasia and neoplasia: An essential or optional technique?
[So] Source:Gastrointest Endosc;86(4):623-625, 2017 10.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Esôfago de Barrett
Ressecção Endoscópica de Mucosa
[Mh] Termos MeSH secundário: Adenocarcinoma
Neoplasias Esofágicas
Esofagoscopia
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170918
[St] Status:MEDLINE



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