FIELD: medicine, endoscopy in particular.
SUBSTANCE: invention relates to medicine, namely to surgery, endoscopy. The mucous membrane of the esophagus and the adjacent submucosal layer are dissected with an endoscopic coagulator conducted through the working channel of the endoscope. The endoscope is inserted into the formed submucosal space and by coagulation, a submucosal tunnel of the required length is formed in the distal direction of the esophagus. A cryoprobe is inserted through the working channel of a flexible endoscope into the submucosal tunnel to freeze the tissue fragment of interest with an exposure of 14-15 seconds at a cryoprobe diameter of 2.4 mm and then extract it by traction on itself and separation along the demarcation line under the control of the endoscope.
EFFECT: method provides a reduction in traumatization, the exclusion of direct communication of the esophageal lumen with the mediastinum, a reduction in the risk of mediastinitis, the possibility of obtaining the largest and most informative tissue fragment for subsequent histological examination, and a reduction in the time of hospitalization.
1 cl, 1 ex
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Authors
Dates
2021-10-29—Published
2020-11-19—Filed