Consensus on the digestive endoscopic tunnel technique

作者：Ning-Li Chai, Huikai Li, Enqiang Linghu, Zhao-Shen Li, Shutian Zhang, Yu Bao, Wei-Gang Chen, Philip Wai Yan Chiu, Tong Dang, Wei Gong, Shu-Tang Han, Jian-Yu Hao, Shuixiang He, Bing Hu, Bing Hu, Xiao‐Jun Huang, Yonghui Huang, Zhendong Jin, Mouen A. Khashab, James Y. Lau, Peng Li, Rui Li, Deliang Liu, Haifeng Liu, Jun Liu, Xiaogang Liu, Zhiguo Liu, Yingcai Ma, Guiyong Peng, Long Rong, Weihong Sha, Pateek Sharma, Jianqiu Sheng, Shi Shui-sheng, Dong Wan Seo, Siyu Sun, Guiqi Wang, Wen Wang, Qi Wu, Hong Xu, Mei-Dong Xu, Aiming Yang, Fang Yao, Honggang Yu, Ping‐Hong Zhou, Bin Zhang, Xiao-Feng Zhang, Yaqi Zhai · 发表于：World Journal of Gastroenterology · 年份：2019 · DOI：10.3748/wjg.v25.i7.744 · 被引用次数：50 · 研究领域：Esophageal and GI Pathology、Gastrointestinal disorders and treatments、Gastrointestinal Tumor Research and Treatment

.; and (3) diagnosis and treatment of lesions outside the GI tract, such as resection of lymph nodes and benign tumour excision in the mediastinum or abdominal cavity. With the increasing number of DETTs performed worldwide, endoscopic tunnel therapeutics, which is based on DETT, has been gradually developed and optimized. However, there is not yet an expert consensus on DETT to regulate its indications, contraindications, surgical procedure, and postoperative treatment. The International DETT Alliance signed up this consensus to standardize the procedures of DETT. In this consensus, we describe the definition, mechanism, and significance of DETT, prevention of infection and concepts of DETT-associated complications, methods to establish a submucosal tunnel, and application of DETT for lesions in the mucosa, in the MP and outside the GI tract (indications and contraindications, procedures, pre- and postoperative treatments, effectiveness, complications and treatments, and a comparison between DETT and other operations).