scholarly journals Single operator experience of endoscopic submucosal dissection for Barrett's neoplasia in a North American academic center

DEN Open ◽  
2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Douglas Motomura ◽  
Robert Bechara
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
North American ◽  
Operator Experience ◽  
Submucosal Dissection ◽  
Academic Center ◽  
Single Operator ◽  
American Academic

Clinical benefit of the multibending endoscope for gastric endoscopic submucosal dissection: a randomized controlled trial

Endoscopy ◽  
2020 ◽  
Author(s):  
Koichi Hamada ◽  
Yoshinori Horikawa ◽  
Yoshiki Shiwa ◽  
Kae Techigawara ◽  
Takayuki Nagahashi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Endoscopic Submucosal Dissection ◽  
Treatment Guidelines ◽  
Controlled Trial ◽  
Complete Removal ◽  
Muscle Layer ◽  
Gastrointestinal Neoplasms ◽  
Procedure Time ◽  
Operator Experience ◽  
Submucosal Dissection

Abstract Background Endoscopic submucosal dissection (ESD) is a technically difficult and time-consuming procedure. We aimed to investigate the efficacy and safety of ESD using a multibending endoscope to treat superficial gastrointestinal neoplasms. Methods Patients with a single early gastric cancer who met the absolute or expanded indications for ESD according to the Japanese gastric cancer treatment guidelines were enrolled and randomly assigned to undergo ESD using a conventional endoscope (C-ESD) or a multibending endoscope (M-ESD). Randomization was stratified by ESD operator experience and tumor location. The primary outcome was ESD procedure time, calculated as the time from the start of submucosal injection to complete removal of the tumor. Results 60 patients were analyzed (30 C-ESD, 30 M-ESD). The mean (standard deviation [SD]) ESD procedure times for M-ESD and C-ESD were 34.6 (SD 17.2) and 47.2 (SD 26.7) minutes, respectively (P = 0.03). Muscle layer damage occurred significantly less frequently with M-ESD (0.2 [SD 0.7] vs. 0.7 [SD 1.0]; P = 0.04). There were no significant differences between the two techniques in procedure time or damage to muscle layers for tumors located in the lower third of the stomach. Conclusions ESD procedure time was significantly shorter with the multibending endoscope and fewer muscles were damaged. We recommend multibending endoscopy for ESD in the upper and middle thirds of the stomach to reduce procedure time and incidence of complications.

Endoscopic Submucosal Dissection for Esophageal Adenocarcinoma and a North American Perspective

2017 ◽  
Vol 152 (5) ◽  
pp. S1231 ◽  
Author(s):  
Philippe Bouchard ◽  
Jonathan Cools-Lartigue ◽  
Jonathan Spicer ◽  
Carmen L. Mueller ◽  
Lorenzo E. Ferri
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Esophageal Adenocarcinoma ◽  
North American ◽  
Submucosal Dissection ◽  
American Perspective ◽  
North American Perspective

Endoscopic Submucosal Dissection for Esophageal Adenocarcinoma: A North American Perspective

2019 ◽  
Vol 23 (6) ◽  
pp. 1087-1094 ◽  
Author(s):  
Philippe Bouchard ◽  
Juan-Carlos Molina ◽  
Jonathan Cools-Lartigue ◽  
Jonathan Spicer ◽  
Carmen L. Mueller ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Esophageal Adenocarcinoma ◽  
North American ◽  
Submucosal Dissection ◽  
American Perspective ◽  
North American Perspective

Su1372 OUTCOMES OF ENDOSCOPIC SUBMUCOSAL DISSECTION VERSUS SURGERY IN EARLY GASTRIC CANCER MEETING STANDARD AND EXPANDED INDICATIONS: A MULTICENTER NORTH AMERICAN COHORT

2019 ◽  
Vol 89 (6) ◽  
pp. AB350-AB351
Author(s):  
Tossapol Kerdsirichairat ◽  
Rui Wang ◽  
Hiroyuki Aihara ◽  
Peter V. Draganov ◽  
Nikhil A. Kumta ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Endoscopic Submucosal Dissection ◽  
North American ◽  
Submucosal Dissection ◽  
North American Cohort
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