A new technique for endoscopic submucosal dissection for early gastric cancer using an external grasping forceps

H. Imaeda, Yasushi Iwao, Haruhiko Ogata, H. Ichikawa, M. Mori, Naoki Hosoe, Tatsuhiro Masaoka, M. Nakashita, Hidekazu Suzuki, Nagamu Inoue, K. Aiura, H. Nagata, K. Kumai, T. Hibi

Research output: Contribution to journalArticle

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Abstract

Background and Study Aims: Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC has improved the success rate of en-bloc resection. We report here on a new technique using an external grasping forceps. Patients and Methods: A total of 25 patients with suitable EGCs over 10 mm in diameter located in the gastric body were enrolled. After submucosal injection followed by circumcision of the lesion with a needle-knife, an external grasping forceps was introduced with the help of a second grasping forceps and anchored at the distal margin of the lesion. With gentle oral traction applied with this forceps, the lesion was dissected endoscopically in retroversion from the aboral side. Results: The mean lesion size was 15.0 mm (range 10-25 mm). Using the technique described, all lesions could be resected en bloc with free margins. The mean procedure time was 45 min (range 30-80 minutes). No significant bleeding requiring blood transfusion or perforation occurred. Conclusions: This technical modification may simplify and shorten the gastric ESD procedure, except for lesions in distal locations, without compromising the efficacy.

Original languageEnglish
Pages (from-to)1007-1010
Number of pages4
JournalEndoscopy
Volume38
Issue number10
DOIs
Publication statusPublished - 2006 Oct

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Surgical Instruments
Stomach Neoplasms
Stomach
Traction
Blood Transfusion
Needles
Hemorrhage
Injections
Endoscopic Mucosal Resection

ASJC Scopus subject areas

  • Medicine (miscellaneous)

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A new technique for endoscopic submucosal dissection for early gastric cancer using an external grasping forceps. / Imaeda, H.; Iwao, Yasushi; Ogata, Haruhiko; Ichikawa, H.; Mori, M.; Hosoe, Naoki; Masaoka, Tatsuhiro; Nakashita, M.; Suzuki, Hidekazu; Inoue, Nagamu; Aiura, K.; Nagata, H.; Kumai, K.; Hibi, T.

In: Endoscopy, Vol. 38, No. 10, 10.2006, p. 1007-1010.

Research output: Contribution to journalArticle

Imaeda, H, Iwao, Y, Ogata, H, Ichikawa, H, Mori, M, Hosoe, N, Masaoka, T, Nakashita, M, Suzuki, H, Inoue, N, Aiura, K, Nagata, H, Kumai, K & Hibi, T 2006, 'A new technique for endoscopic submucosal dissection for early gastric cancer using an external grasping forceps', Endoscopy, vol. 38, no. 10, pp. 1007-1010. https://doi.org/10.1055/s-2006-925264
Imaeda, H. ; Iwao, Yasushi ; Ogata, Haruhiko ; Ichikawa, H. ; Mori, M. ; Hosoe, Naoki ; Masaoka, Tatsuhiro ; Nakashita, M. ; Suzuki, Hidekazu ; Inoue, Nagamu ; Aiura, K. ; Nagata, H. ; Kumai, K. ; Hibi, T. / A new technique for endoscopic submucosal dissection for early gastric cancer using an external grasping forceps. In: Endoscopy. 2006 ; Vol. 38, No. 10. pp. 1007-1010.
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AU - Hibi, T.

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