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

H. Imaeda, Y. Iwao, H. Ogata, H. Ichikawa, M. Mori, N. Hosoe, T. Masaoka, M. Nakashita, H. Suzuki, N. Inoue, K. Aiura, H. Nagata, K. Kumai, T. Hibi

研究成果: Article査読

75 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1007-1010
ページ数4
ジャーナルEndoscopy
38
10
DOI
出版ステータスPublished - 2006 10

ASJC Scopus subject areas

  • 消化器病学

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