scholarly journals A novel strategy for complete duodenal endoscopic submucosal dissection involving prophylactic defect closure with over-the-scope clips

Endoscopy ◽  
2016 ◽  
Vol 48 (S 01) ◽  
pp. E190-E191 ◽  
Author(s):  
Hideki Kobara ◽  
Hirohito Mori ◽  
Shintaro Fujihara ◽  
Noriko Nishiyama ◽  
Maki Ayaki ◽  
...  
Endoscopy ◽  
2018 ◽  
Vol 50 (12) ◽  
pp. E342-E343 ◽  
Author(s):  
Tatsuma Nomura ◽  
Akira Kamei ◽  
Shinya Sugimoto ◽  
Tetsuro Harada ◽  
Jun Oyamda

2020 ◽  
Vol 91 (6) ◽  
pp. AB71-AB72
Author(s):  
Osamu Goto ◽  
Tsuneo Oyama ◽  
Hiroyuki Ono ◽  
Akiko Takahashi ◽  
Mitsuhiro Fujishiro ◽  
...  

2017 ◽  
Vol 05 (02) ◽  
pp. E123-E129 ◽  
Author(s):  
Hirotsugu Sakamoto ◽  
Yoshikazu Hayashi ◽  
Yoshimasa Miura ◽  
Satoshi Shinozaki ◽  
Haruo Takahashi ◽  
...  

Abstract Background and study aims The pocket-creation method (PCM) is a novel strategy for endoscopic submucosal dissection (ESD). The aim of this study is to determine the efficacy of the PCM for colorectal laterally spreading tumors, non-granular type (LST-NG). Patients and methods The records of 126 consecutive patients with colorectal LST-NG who underwent ESD between April 2012 and July 2015 were retrospectively reviewed. Patients were divided into PCM (n = 73) and conventional method (CM) (n = 53) groups. Results The en bloc resection rate in the PCM group was significantly higher than in the CM group (100 % [73/73] vs. 92 % [49/53], P = 0.03). The en bloc resection rate with severe fibrosis was higher in the PCM group than in the CM group (100 % [3/3] vs. 60 % [3/5]). The R0 resection rate for the two groups was not statistically significantly different (93 % [68/73] vs. 91 % [48/53], P = 0.74). The perforation rate in the PCM group was lower than in the CM group although not statistically significantly less (0 % 0/73 vs. 4 % 2/53, P = 0.18). For lesions resected en bloc, dissection speed for the PCM group was significantly faster than for the CM group (median [IQR], 19 [13 –24] vs. 14 [10 – 22] mm2/min, P = 0.03). Conclusion ESD using PCM achieves a reliable and safe resection of colorectal LST-NG.


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