20 research outputs found
ΠΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠ΅Π·Π΅ΠΊΡΠΈΡ Π»Π°ΡΠ΅ΡΠ°Π»ΡΠ½ΠΎ-ΡΠ°ΡΠΏΡΠΎΡΡΡΡΠ½ΡΡΡΠΈΡ ΡΡ ΠΎΠΏΡΡ ΠΎΠ»Π΅ΠΉ ΡΠΎΠ»ΡΡΠΎΠΉ ΠΊΠΈΡΠΊΠΈ
Objective. The purpose of the literature review is to present the latest literature data on endoscopic resection of a laterally spreading colon tumor. Conclusions. Most non-malignant colon neoplasias can be removed by the endoscopic method. When removing LST, it is necessary to focus on high-quality endoscopic imaging, magnification, chromoscopy and narrow-spectrum endoscopy. LST resection should be carried out according to the accepted method. Before making a decision on endoscopic resection of neoplasia, all its characteristics should be carefully evaluated. The analysis of cases of incomplete removal and recurrence of formation is associated with a size of more than 40 mm, localization in the ileocecal colon, the characteristics of the patching pattern and the probability of invasion.Π¦Π΅Π»Ρ ΠΎΠ±Π·ΠΎΡΠ°. ΠΠ·Π»ΠΎΠΆΠΈΡΡ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΏΠΎ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ (EMR) Π»Π°ΡΠ΅ΡΠ°Π»ΡΠ½ΠΎ - ΡΠ°ΡΠΏΡΠΎΡΡΡΡΠ½ΡΡΡΠΈΡ
ΡΡ ΠΎΠΏΡΡ
ΠΎΠ»Π΅ΠΉ (LST) ΡΠΎΠ»ΡΡΠΎΠΉ ΠΊΠΈΡΠΊΠΈ. ΠΡΠ½ΠΎΠ²Π½ΡΠ΅ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΡ. ΠΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ Π½Π΅ΠΌΠ°Π»ΠΈΠ³Π½ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π½Π΅ΠΎΠΏΠ»Π°Π·ΠΈΠΉ ΡΠΎΠ»ΡΡΠΎΠΉ ΠΊΠΈΡΠΊΠΈ ΠΌΠΎΠΆΠ΅Ρ Π±ΡΡΡ ΡΠ΄Π°Π»Π΅Π½ΠΎ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ. ΠΡΠΈ ΡΠ΄Π°Π»Π΅Π½ΠΈΠΈ LST Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ ΠΎΡΠΈΠ΅Π½ΡΠΈΡΠΎΠ²Π°ΡΡΡΡ Π½Π° ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ Π²ΡΡΠΎΠΊΠΎΠ³ΠΎ ΠΊΠ°ΡΠ΅ΡΡΠ²Π°, ΡΡΠ½ΠΊΡΠΈΡ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΡ, Ρ
ΡΠΎΠΌΠΎΡΠΊΠΎΠΏΠΈΡ ΠΈ ΡΠ·ΠΊΠΎΡΠΏΠ΅ΠΊΡΡΠ°Π»ΡΠ½ΡΡ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡ. Π Π΅Π·Π΅ΠΊΡΠΈΡ LST Π΄ΠΎΠ»ΠΆΠ½Π° ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΡΡΡΡ ΠΏΠΎ ΠΏΡΠΈΠ½ΡΡΠΎΠΉ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠ΅. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ΅ΡΠ΅Π΄ ΠΏΡΠΈΠ½ΡΡΠΈΠ΅ΠΌ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΎΠ± ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ Π½Π΅ΠΎΠΏΠ»Π°Π·ΠΈΠΈ ΡΠ»Π΅Π΄ΡΠ΅Ρ ΡΡΠ°ΡΠ΅Π»ΡΠ½ΠΎ ΠΎΡΠ΅Π½ΠΈΡΡ Π²ΡΠ΅ Π΅Ρ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠΈ. ΠΠ½Π°Π»ΠΈΠ· ΡΠ»ΡΡΠ°Π΅Π² Π½Π΅ΠΏΠΎΠ»Π½ΠΎΠ³ΠΎ ΡΠ΄Π°Π»Π΅Π½ΠΈΡ ΠΈ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²Π° ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ ΡΠ²ΡΠ·Π°Π½ Ρ Π΅Π³ΠΎ ΡΠ°Π·ΠΌΠ΅ΡΠΎΠΌ Π±ΠΎΠ»Π΅Π΅ 40 ΠΌΠΌ, Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠ΅ΠΉ Π² ΠΈΠ»Π΅ΠΎΡΠ΅ΠΊΠ°Π»ΡΠ½ΠΎΠΌ ΠΎΡΠ΄Π΅Π»Π΅ ΡΠΎΠ»ΡΡΠΎΠΉ ΠΊΠΈΡΠΊΠΈ, Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠΎΠΉ ΡΠΌΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠΈΡΡΠ½ΠΊΠ° ΠΈ Π²Π΅ΡΠΎΡΡΠ½ΠΎΡΡΡΡ ΠΈΠ½Π²Π°Π·ΠΈ
ΠΡΠ΅Π½ΠΊΠ° ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΎΠΏΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠΎΠ³Π΅ΡΠ΅Π½ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΡΠΎΠ½ΠΎΠ²ΡΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ
The article presents the results of the use of optical coherence tomography (OCT) in the diagnosis of background diseases of the cervix. A compact portable optical tomograph OCT 1300-U was used. 102 women with background diseases of the cervix at the age of 19 to 43 years were examined. The following pathology of the cervix was revealed: ectopia in-50 patients (49 %), leukoplakia in - 36 (35.3 %), endometriosis in - 9 (8.8 %), flat condyloma of the cervix in - 7 (6.9 %). The OCT method is able to detect the layers and interstitial elements of the mucosa. The degree of structure loss in the tomograms corresponds to the increase in the severity of the process and the severity of colposcopic changes and is comparable with the histological data. The findings suggest that optical coherence tomography provides visualization the morphological structure of the cervical mucosa in normal and benign pathology at the level of layers and interstitial elements in form of structural optical images, which can be used for definition of optical characteristics of pathological processes in the cervix.Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠΈΠ²Π΅Π΄Π΅Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΎΠΏΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠΎΠ³Π΅ΡΠ΅Π½ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ° ΡΠΈΠΈ (ΠΠΠ’) Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΡΠΎΠ½ΠΎΠ²ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ. ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ ΠΊΠΎΠΌΠΏΠ°ΠΊΡΠ½ΡΠΉ ΠΏΠ΅ΡΠ΅Π½ΠΎΡΠ½ΠΎΠΉ ΠΎΠΏΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°Ρ ΠΠΠ’ 1300-Π£ ΠΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΎ 102 ΠΆΠ΅Π½ΡΠΈΠ½ Ρ ΡΠΎΠ½ΠΎΠ²ΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ ΠΎΡ 19 Π΄ΠΎ 43 Π»Π΅Ρ. ΠΡΡΠ²Π»Π΅Π½Π° ΡΠ»Π΅Π΄ΡΡΡΠ°Ρ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ: ΡΠΊΡΠΎΠΏΠΈΡ Ρ 50 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ (49 %), Π»Π΅ΠΉΠΊΠΎΠΏΠ»Π°ΠΊΠΈΡ Ρ 36 (35,3 %), ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΠΎΠ· Ρ 9 (8,8 %), ΠΏΠ»ΠΎΡΠΊΠ°Ρ ΠΊΠΎΠ½Π΄ΠΈΠ»ΠΎΠΌΠ° ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ Ρ 7 (6,9 %). ΠΠ΅ΡΠΎΠ΄ ΠΠΠ’ ΡΠΏΠΎΡΠΎΠ±Π΅Π½ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΡΠΎΠ²Π°ΡΡ ΡΠ»ΠΎΠΈ ΠΈ Π²Π½ΡΡΡΠΈΡΠΊΠ°Π½Π΅Π²ΡΠ΅ ΡΠ»Π΅ΠΌΠ΅Π½ΡΡ ΡΠ»ΠΈΠ·ΠΈΡΡΠΎΠΉ. ΠΠΎΡΠ΅ΡΡ ΡΡΡΡΠΊΡΡΡΠ½ΠΎΡΡΠΈ Π½Π° ΡΠΎΠΌΠΎΠ³ΡΠ°ΠΌΠΌΠ°Ρ
ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΠΈΡ ΠΏΠ°ΡΠ°Π»Π»Π΅Π»ΡΠ½ΠΎ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΡ ΡΡΠΆΠ΅ΡΡΠΈ ΠΏΡΠΎΡΠ΅ΡΡΠ° ΠΈ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΠΊΠΎΠ»ΡΠΏΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΈ ΡΠΎΠΏΠΎΡΡΠ°Π²ΠΈΠΌΠ° Ρ Π΄Π°Π½Π½ΡΠΌΠΈ Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΡΡ, ΡΡΠΎ ΠΎΠΏΡΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠΎΠ³Π΅ΡΠ΅Π½ΡΠ½Π°Ρ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ Π²ΠΈΠ·ΡΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°ΡΡ ΠΌΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΡΡ ΡΡΡΡΠΊΡΡΡΡ ΡΠ»ΠΈΠ·ΠΈΡΡΠΎΠΉ ΠΎΠ±ΠΎΠ»ΠΎΡΠΊΠΈ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ Π² Π½ΠΎΡΠΌΠ΅ ΠΈ ΠΏΡΠΈ Π΄ΠΎΠ±ΡΠΎΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ Π½Π° ΡΡΠΎΠ²Π½Π΅ ΡΠ»ΠΎΠ΅Π² ΠΈ Π²Π½ΡΡΡΠΈΡΠΊΠ°Π½Π΅Π²ΡΡ
ΡΠ»Π΅ΠΌΠ΅Π½ΡΠΎΠ² Π² Π²ΠΈΠ΄Π΅ ΡΡΡΡΠΊΡΡΡΠ½ΡΡ
ΠΎΠΏΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠ±ΡΠ°Π·ΠΎΠ² ΠΈ Π½Π° ΠΈΡ
ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠΈ ΡΠ°Π·ΡΠ°Π±ΠΎΡΠ°ΡΡ ΠΎΠΏΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠΈ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΡΠΎΡΠ΅ΡΡΠΎΠ² ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ
Π‘ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ΅Ρ Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ Π½Π΅ΠΎΠΏΠ»Π°Π·ΠΈΠΉ ΡΠΎΠ»ΡΡΠΎΠΉ ΠΊΠΈΡΠΊΠΈ
Colonoscopy has been established as the gold standard for the detection of colorectal neoplasms. Adenoma detection rate (ADR) is one of the most important quality indicator of colonoscopy, and, as it has been recommended by a European Society of Gastrointestinal Endoscopy (ESGE), the benchmark for ADR is 20%. However, ADR widely varies, and almost one fourth of polyps and adenomas are missed. Currently several techniques have been developed with the aim to improve the quality of colonoscopy. Among them there are image-enhanced endoscopy (IEE) and techniques or devices that improve mucosal observation. IEE includes chromoendoscopy and virtual chromoendoscopy (NBI, FICE, AFI, i-scan); among techniques which enable better observation of the mucosa there are add-on devices, such as transparent cap, Endocuff, Endocuff Vision, Endorings; and wide-angle colonoscopes (full spectrum endocopy - FUSE). In the literature review, these mentioned techniques and their effect on ADR are described.ΠΠΎΠ»ΠΎΠ½ΠΎΡΠΊΠΎΠΏΠΈΡ - Β«Π·ΠΎΠ»ΠΎΡΠΎΠΉ ΡΡΠ°Π½Π΄Π°ΡΡΒ» Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Π½Π΅ΠΎΠΏΠ»Π°Π·ΠΈΠΉ ΡΠΎΠ»ΡΡΠΎΠΉ ΠΊΠΈΡΠΊΠΈ. ΠΠ΄Π½ΠΈΠΌ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π·Π½Π°ΡΠΈΠΌΡΡ
ΠΊΡΠΈΡΠ΅ΡΠΈΠ΅Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΊΠΎΠΏΠΈΠΈ, ΡΠΎΠ³Π»Π°ΡΠ½ΠΎ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΡΠΌ ESGE, ΡΡΠΈΡΠ°Π΅ΡΡΡ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ Π²ΡΡΠ²Π»Π΅Π½Π½ΡΡ
Π°Π΄Π΅Π½ΠΎΠΌ (ADR), ΠΊΠΎΡΠΎΡΡΠΉ Π΄ΠΎΠ»ΠΆΠ΅Π½ ΡΠΎΡΡΠ°Π²Π»ΡΡΡ Π½Π΅ ΠΌΠ΅Π½Π΅Π΅ 20%. ΠΠ΄Π½Π°ΠΊΠΎ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΡΠΈΡΠΎΠΊΠΎ Π²Π°ΡΡΠΈΡΡΠ΅ΡΡΡ, ΠΈ ΠΏΡΠΈ ΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΊΠΎΠΏΠΈΠΈ ΠΏΡΠΎΠΏΡΡΠΊΠ°Π΅ΡΡΡ ΠΏΠΎΡΡΠΈ ΡΠ΅ΡΠ²Π΅ΡΡΡ Π°Π΄Π΅Π½ΠΎΠΌ ΠΈ ΠΏΠΎΠ»ΠΈΠΏΠΎΠ². ΠΠ° ΡΠ΅Π³ΠΎΠ΄Π½ΡΡΠ½ΠΈΠΉ Π΄Π΅Π½Ρ ΡΡΡΠ΅ΡΡΠ²ΡΠ΅Ρ ΡΠΈΡΠΎΠΊΠΈΠΉ ΡΡΠ΄ Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΡΡΠΎΡΠ½ΡΡΡΠΈΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠΈΡ
ΠΏΠΎΠ²ΡΡΠΈΡΡ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΊΠΎΠΏΠΈΠΈ. Π‘ΡΠ΅Π΄ΠΈ Π½ΠΈΡ
ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΡΠΎΠ²Π΅ΡΡΠ΅Π½ΡΡΠ²ΠΎΠ²Π°Π½ΠΈΡ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠΉ (image enhanced endoscopy - IEE) ΠΈ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΡ ΠΏΠΎΠ»Ρ Π·ΡΠ΅Π½ΠΈΡ. Π ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠΌ ΡΡΠΎΠ²Π΅ΡΡΠ΅Π½ΡΡΠ²ΠΎΠ²Π°Π½ΠΈΡ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠΉ ΠΎΡΠ½ΠΎΡΡΡΡΡ Ρ
ΡΠΎΠΌΠΎΡΠΊΠΎΠΏΠΈΡ ΠΈ Π²ΠΈΡΡΡΠ°Π»ΡΠ½Π°Ρ Ρ
ΡΠΎΠΌΠΎΡΠΊΠΎΠΏΠΈΡ, Π²ΠΊΠ»ΡΡΠ°ΡΡΠ°Ρ NBI, FICE, AFI, i-scan. Π£Π²Π΅Π»ΠΈΡΠΈΡΡ ΠΏΠΎΠ»Π΅ Π·ΡΠ΅Π½ΠΈΡ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡ ΡΠΏΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΠ΅ ΡΡΡΡΠΎΠΉΡΡΠ²Π°, ΡΠ°Π·Π³Π»Π°ΠΆΠΈΠ²Π°ΡΡΠΈΠ΅ ΡΠ»ΠΈΠ·ΠΈΡΡΡΡ Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π²ΡΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΊΠΎΠ»ΠΎΠ½ΠΎΡΠΊΠΎΠΏΠ° (Π΄ΠΈΡΡΠ°Π»ΡΠ½ΡΠΉ ΠΊΠΎΠ»ΠΏΠ°ΡΠΎΠΊ, Endocuff, Endocuff Vision, Endorings), Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΡ Ρ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½Π½ΡΠΌ ΡΠ³Π»ΠΎΠΌ ΠΎΠ±Π·ΠΎΡΠ° - Π²ΠΈΠ΄Π΅ΠΎΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠΈΡΡΠ΅ΠΌΠ° FUSE (full spectrum endoscopy). Π ΠΎΠ±Π·ΠΎΡΠ΅ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ ΠΎΠΏΠΈΡΠ°Π½Ρ ΡΠΊΠ°Π·Π°Π½Π½ΡΠ΅ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΈΡ
Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π½Π° ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ Π²ΡΡΠ²Π»Π΅Π½Π½ΡΡ
Π°Π΄Π΅Π½ΠΎΠΌ
Π’ΠΠ₯ΠΠΠΠΠΠΠ― Π‘ΠΠΠΠ’Π ΠΠΠ¬ΠΠΠΠ Π¦ΠΠΠ’ΠΠΠΠΠ ΠΠ«ΠΠΠΠΠΠΠ― Π ΠΠΠΠΠΠΠ‘Π’ΠΠΠ ΠΠΠΠ’ΠΠΠΠΠΠ¬ΠΠ«Π₯ ΠΠΠ ΠΠΠΠΠΠΠΠ Π’ΠΠΠ‘Π’ΠΠ ΠΠΠ¨ΠΠ
Modified mode of fujinon intelligent color enhancement (FICE) in the diagnosis of colon lesions
The study aims to evaluate the effectiveness of standard and modified settings of the spectral color allocation technology in the differential diagnosis of the colon morphological type of epithelial formations. Materials and methods: video colonoscopy using standard and modified mode of technology. A total of 746 patients were selected for spectral colour selection, of whom 80 were selected. There were 36 men, 44 women. The average age of the patients was 60 Β± 9 years. There were 171 epithelial fomations, of which 106 (61.9%) were located in the left side of the large intestine: in the rectum - 33 (31.2%), in sigmoid - 52 (49%), in descending part - 21 (19.8%). In the right parts of the colon there were significant lower number of formations - 65 (38.1%): ascending intestine - 26 (40%), transversely - colon - 32 (49.2%), cecum - 7 (10.8%). Endoscopic studies were performed according to standard method using video colonoscopes from Fujinon, EC-590ZW / L, EC-530WL. Results: statistically revealed that the probability of determining the correct morphological type of epithelium is formation is 6 times higher when using the modified spectral color technology highlight compared to standard technology settings. Conclusion: the modified settings of the technology of spectral color highlighting allow much more accurative performance an optical biopsy of epithelial colon formations. Β© 2020 Global Media Tekhnologii. All rights reserved
Outlooks of photodynamic therapy for the treatment of cervical diseases in routine clinical practice
Cervical cancer is one of the most common malignancies. Despite the existence of well-developed classical approaches to prevention, diagnosis, and treatment, cervical cancer demonstrates one of the highest incidence and mortality rates among female cancers. Cervical diseases are widespread, can develop at any age, and often preceded cancer development. Photodynamic therapy (PDT) is a new and unique treatment for cancer and a number of non-malignant diseases, which is based on systemic or topical administration of photosensitizers, followed by laser exposure. We analyzed foreign and Russian articles published between 2004 and 2018 evaluating the efficacy of PDT in patients with precancerous diseases and early cervical cancer. PDT is a highly effective treatment method, which causes no complications and can eliminate human papilloma virus. We assessed potential outlooks of wide clinical use of PDT. Β© 2020, Dynasty Publishing House. All rights reserved
ΠΡΠ΅Π΄ΠΎΠΏΡΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ΅ ΠΊΠΎΠ»ΠΎΡΠ΅ΠΊΡΠ°Π»ΡΠ½ΠΎΠ΅ ΡΡΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠΎΠ»ΡΡΠΎΠΊΠΈΡΠ΅ΡΠ½ΠΎΠΉ Π½Π΅ΠΏΡΠΎΡ ΠΎΠ΄ΠΈΠΌΠΎΡΡΡΡ ΠΎΠΏΡΡ ΠΎΠ»Π΅Π²ΠΎΠ³ΠΎ Π³Π΅Π½Π΅Π·Π° Ρ ΠΏΠΎΠ·ΠΈΡΠΈΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Ρ, ΠΎΡΠ½ΠΎΠ²Π°Π½Π½ΠΎΠΉ Π½Π° Π΄ΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΡΡΠ²Π°Ρ
Malignant colonic obstruction is actual problem of emergency surgery. In various clinical situations it is possible to perform different interventions. Colorectal stenting is the favorite method of palliative treatment. However, the role of stenting in patients with curable or potentially curable tumors remains unclear. This literature review presents data from meta-analysis, randomized and cohort studies, as well as recommendations to determine the role of colorectal stenting as bridge to surgeryΠ’ΠΎΠ»ΡΡΠΎΠΊΠΈΡΠ΅ΡΠ½Π°Ρ Π½Π΅ΠΏΡΠΎΡ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΠΎΠ³ΠΎ Π³Π΅Π½Π΅Π·Π° ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠ°Π΅Ρ ΠΎΡΡΠ°Π²Π°ΡΡΡΡ Π°ΠΊΡΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠΎΠΉ ΡΠΊΡΡΡΠ΅Π½Π½ΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ. ΠΠ° Π΄Π°Π½Π½ΡΠΉ ΠΌΠΎΠΌΠ΅Π½Ρ Π² Π΄Π°Π½Π½ΠΎΠΉ ΡΠΈΡΡΠ°ΡΠΈΠΈ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠ΅ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ². ΠΠΎΠ»ΠΎΡΠ΅ΠΊΡΠ°Π»ΡΠ½ΠΎΠ΅ ΡΡΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΡΠ΅Π΄ΠΏΠΎΡΡΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ ΠΏΠ°Π»Π»ΠΈΠ°ΡΠΈΠ²Π½ΠΎΠΉ ΠΏΠΎΠΌΠΎΡΠΈ. ΠΠ΄Π½Π°ΠΊΠΎ ΡΠΎΠ»Ρ ΡΡΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΊΡΡΠ°Π±Π΅Π»ΡΠ½ΡΠΌΠΈ ΠΈΠ»ΠΈ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»ΡΠ½ΠΎ ΠΊΡΡΠ°Π±Π΅Π»ΡΠ½ΡΠΌΠΈ ΠΎΠΏΡΡ
ΠΎΠ»ΡΠΌΠΈ ΠΎΡΡΠ°Π΅ΡΡΡ Π½Π΅ΡΡΠΎΡΠ½Π΅Π½Π½ΠΎΠΉ. Π Π΄Π°Π½Π½ΠΎΠΉ ΠΎΠ±Π·ΠΎΡΠ½ΠΎΠΉ ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ Π΄Π°Π½Π½ΡΠ΅ ΠΌΠ΅ΡΠ°Π°Π½Π°Π»ΠΈΠ·ΠΎΠ², ΡΠ°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΠΈ ΠΊΠΎΠ³ΠΎΡΡΠ½ΡΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΉ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠΈΡ
ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΡΠΎΠ»Ρ ΠΏΡΠ΅Π΄ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΊΠΎΠ»ΠΎΡΠ΅ΠΊΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ