Resection of lesions in the upper gastrointestinal tract: Results of one year of endoscopic mucosal resection and endoscopic submucosal dissection in a non-academic centre

2011 ◽  
Vol 49 (05) ◽  
Author(s):  
M Wappl ◽  
R Vajczik ◽  
M Häfner
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Submucosal Dissection ◽  
Endoscopic Mucosal Resection ◽  
Upper Gastrointestinal Tract ◽  
Mucosal Resection ◽  
Submucosal Dissection ◽  
One Year ◽  
Upper Gastrointestinal

scholarly journals Pilot Study of Acupuncture’s Antispasmodic Effect on Upper Gastrointestinal Tract during Endoscopic Submucosal Dissection for Early Gastric Cancer: Controlled Clinical Trial

2021 ◽  
Vol 10 (14) ◽  
pp. 3050
Author(s):  
Masao Suzuki ◽  
Naoto Ishizaki ◽  
Takumi Kayo ◽  
Taiga Furuta ◽  
Ryo Igarashi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Gastrointestinal Tract ◽  
Endoscopic Submucosal Dissection ◽  
Controlled Trial ◽  
Upper Gastrointestinal Tract ◽  
Controlled Clinical Trial ◽  
Whitney Test ◽  
Submucosal Dissection ◽  
Mann Whitney Test ◽  
Upper Gastrointestinal

A prospective study was conducted in patients with early-stage gastric cancer to determine the efficacy and safety of acupuncture stimulation as an antispasmodic compared with conventional medication during the procedure of endoscopic submucosal dissection (ESD) of the upper gastrointestinal tract. This study was a prospective single blinded quasi-randomized controlled trial. Seventy-three patients who were scheduled to undergo ESD for gastric cancer at Aizu Medical Center between 19 February 2016 and 30 June 2016 were assessed for eligibility for the study. Sixty out of 73 patients were included in the study and assigned into two intervention groups: medication group (MG) and acupuncture group (AG). Ease of the procedure was evaluated using modified NIWA classification (MNC) by endoscopist considering the frequency and amplitude of the upper gastrointestinal peristalsis. For the statistical analysis, Mann–Whitney test was used to compare the differences of MNC values (baseline and end of procedure) between two groups. The difference of MNC found in the AG (−2.00 (−3.0 to −2.0)) was significantly greater than that in the MG (−1.00 (−2.0 to −1.0), p < 0.0001, Mann–Whitney test). We consider that acupuncture to the abdomen could be an alternative antispasmodic method during upper gastrointestinal endoscopic procedure.

Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract

Endoscopy ◽  
2009 ◽  
Vol 41 (09) ◽  
pp. 751-757 ◽  
Author(s):  
Y. Cao ◽  
C. Liao ◽  
A. Tan ◽  
Y. Gao ◽  
Z. Mo ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Submucosal Dissection ◽  
Endoscopic Mucosal Resection ◽  
Meta Analysis ◽  
Mucosal Resection ◽  
Submucosal Dissection

Endoscopic Mucosal Resection for Early Cancers of the Upper Gastrointestinal Tract

2005 ◽  
Vol 23 (20) ◽  
pp. 4490-4498 ◽  
Author(s):  
Roy Soetikno ◽  
Tonya Kaltenbach ◽  
Ronald Yeh ◽  
Takuji Gotoda
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Mucosal Resection ◽  
Standard Technique ◽  
Upper Gastrointestinal Tract ◽  
Major Surgery ◽  
En Bloc ◽  
Mucosal Resection ◽  
Efficacious Treatment ◽  
Invasive Techniques ◽  
Upper Gastrointestinal

The purpose of this literature review is to examine recent advances in technique and technology of endoscopic mucosal resection of superficial early cancers of the upper gastrointestinal tract. Endoscopic mucosal resection (EMR) of superficial early cancers of the upper gastrointestinal tract is standard technique in Japan and is increasingly used in Western countries. Newer techniques of EMR allow removal of larger lesions en-bloc. These minimally invasive techniques, when applied correctly, allow safe and efficacious treatment in situations that would otherwise require major surgery. Through the establishment of long-term outcomes data, standardization of endoscopic and pathologic reporting, and newer EMR technology and techniques, the future treatment of early cancers in the upper gastrointestinal tract may be achieved primarily through the endoscope.

scholarly journals Endoscopic resection and colonic stoma: endoscopic submucosal dissection at the hepatic flexure using an upper gastrointestinal scope and endoscopic mucosal resection by hand at the everted edge of the stoma

Endoscopy ◽  
2016 ◽  
Vol 48 (S 01) ◽  
pp. E170-E171
Author(s):  
Laure Servais ◽  
Jérome Rivory ◽  
Isabelle Lienhart ◽  
Gaspard Bertrand ◽  
Camille Giacino ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Endoscopic Mucosal Resection ◽  
Endoscopic Resection ◽  
Hepatic Flexure ◽  
Mucosal Resection ◽  
Submucosal Dissection ◽  
Upper Gastrointestinal

scholarly journals Implementation of endoscopic submucosal dissection for early upper gastrointestinal tract cancer after primary experience in colorectal endoscopic submucosal dissection

2019 ◽  
Vol 07 (04) ◽  
pp. E446-E451 ◽  
Author(s):  
Lena Mocker ◽  
Ralf Hildenbrand ◽  
Tsuneo Oyama ◽  
Bernd Sido ◽  
Naohisa Yahagi ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Submucosal Dissection ◽  
Curative Resection ◽  
Case Series ◽  
Upper Gastrointestinal Tract ◽  
Western World ◽  
Minimal Risk ◽  
Retrospective Case ◽  
Submucosal Dissection ◽  
Upper Gastrointestinal

Abstract Background Current guidelines recommend endoscopic submucosal dissection (ESD) as a treatment option for early cancers of the upper gastrointestinal tract with absent or minimal risk of lymph node metastasis. However, due to the low prevalence of these entities, it is difficult to achieve a competence level for ESD of upper gastrointestinal tract cancers in the Western World. Here, we present single-center data on the implementation of upper gastrointestinal ESD after previous experience with 89 colorectal ESD cases. Methods Retrospective case series of 39 consecutive patients with early cancers of the esophagus (n = 13) or cardia and stomach (n = 26) treated with ESD over a 4-year period. Results ESD was technically feasible in all cases with en bloc, R0, and curative resection rates of 100 %, 76.9 %, and 71.8 %, respectively, and a mean procedure time of 100 minutes (30 – 360 minutes). After an initial 20 procedures, the R0 and curative resection rates increased from 65.0 % to 89.5 %, and from 60.0 % to 84.2 %, respectively. Complications were observed in four patients (10.3 %): three perforations, one case of delayed bleeding, and one esophageal stricture. No case required emergency surgery; the 30-day mortality rate was 0 %. Conclusion In this modest case series from Europe, we observed an effectiveness and complication rate for ESD for early esophageal and gastric cancer that are comparable to other series from Europe but also to more abundant data from Asia. The results indicate that even small numbers of upper gastrointestinal cancers can be managed adequately in centers with expertise in colorectal ESD.

scholarly journals Comparison of sedation between the endoscopy room and operation room during endoscopic submucosal dissection for neoplasms in the upper gastrointestinal tract

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Daisuke Yamaguchi ◽  
Naoko Yamaguchi ◽  
Yuki Takeuchi ◽  
Takahiro Yukimoto ◽  
Kei Ikeda ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Submucosal Dissection ◽  
Upper Gastrointestinal Tract ◽  
Operation Room ◽  
Submucosal Dissection ◽  
Upper Gastrointestinal

scholarly journals Endoscopic mucosal resection in the upper gastrointestinal tract

2008 ◽  
Vol 14 (13) ◽  
pp. 1984 ◽  
Author(s):  
Anis Ahmadi ◽  
Peter Draganov
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Mucosal Resection ◽  
Upper Gastrointestinal Tract ◽  
Mucosal Resection ◽  
Upper Gastrointestinal
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