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Nuove tecnologie chirurgiche in oncologia pp 79–90Cite as

Endoscopia e chirurgia oncologica

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Riassunto

La terapia per via endoscopica è emersa quale metodo molto efficace e minimamente invasivo per il controllo e il trattamento precoce delle neoplasie del tratto digestivo. La polipectomia ha rappresentato un progresso rilevante e, più di recente, l’ablazione e la resezione della mucosa per via endoscopica appaiono molto efficaci nel trattamento di aree neoplastiche piatte della mucosa intestinale. L’uso dell’ecografia endoscopica (endoscopic ultrasonography; EUS) ha portato a una maggiore accuratezza nella stadiazione neoplastica e l’agoaspirato EUS-guidato è riuscito a ottenere la diagnosi istologica di formazioni poste al di fuori del lume intestinale. Nei tumori avanzati, usualmente gestiti da un team multidisciplinare di oncologi, chirurghi e radiologi, l’endoscopista gastrointestinale (GI) ha assunto un ruolo chiave non solo nella diagnosi, ma anche nella palliazione, con l’impiego di stent per superare le ostruzioni gastrointestinali, con l’ablazione e con il posizionamento di cateteri per il drenaggio o per l’alimentazione.

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Authors and Affiliations

  1. Servizio di Ecoendoscopia, Unità Tumori Neuroendocrini e Gastroenteropancreatici, Dipartimento di Gastroepatologia, A.O.U. San Giovanni Battista di Torino, Torino, Italia

    C. De Angelis

  2. Unità di Endoscopia Digestiva, IRCCS Istituto Clinico Humanitas, Milano, Italia

    A. Repici

  3. S.C.D.U. Chirurgia Oncologica, A.O.U. San Giovanni Battista di Torino, Torino, Italia

    M. Goss

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  1. C. De Angelis
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  2. A. Repici
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  3. M. Goss
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© 2011 Springer-Verlag Italia

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De Angelis, C., Repici, A., Goss, M. (2011). Endoscopia e chirurgia oncologica. In: Nuove tecnologie chirurgiche in oncologia. Springer, Milano. https://doi.org/10.1007/978-88-470-2385-7_8

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  • DOI: https://doi.org/10.1007/978-88-470-2385-7_8

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2384-0

  • Online ISBN: 978-88-470-2385-7

  • eBook Packages: MedicineMedicine (R0)

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