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Endoscopic submucosal dissection of gastric adenomas using the clutch cutter
AIM: To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) using the clutch cutter (CC) (ESD-CC) for gastric adenoma (GA). METHODS: From June 2007 to August 2015, 122 consecutive patients with histological diagnoses of GA from specimens resected by ESD-CC were enrolled in thi...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507825/ https://www.ncbi.nlm.nih.gov/pubmed/28744346 http://dx.doi.org/10.4253/wjge.v9.i7.334 |
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author | Akahoshi, Kazuya Kubokawa, Masaru Gibo, Junya Osada, Shigeki Tokumaru, Kayo Yamaguchi, Eriko Ikeda, Hiroko Sato, Takao Miyamoto, Kazuaki Kimura, Yusuke Shiratsuchi, Yuki Akahoshi, Kazuaki Oya, Masafumi Koga, Hidenobu Ihara, Eikichi Nakamura, Kazuhiko |
author_facet | Akahoshi, Kazuya Kubokawa, Masaru Gibo, Junya Osada, Shigeki Tokumaru, Kayo Yamaguchi, Eriko Ikeda, Hiroko Sato, Takao Miyamoto, Kazuaki Kimura, Yusuke Shiratsuchi, Yuki Akahoshi, Kazuaki Oya, Masafumi Koga, Hidenobu Ihara, Eikichi Nakamura, Kazuhiko |
author_sort | Akahoshi, Kazuya |
collection | PubMed |
description | AIM: To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) using the clutch cutter (CC) (ESD-CC) for gastric adenoma (GA). METHODS: From June 2007 to August 2015, 122 consecutive patients with histological diagnoses of GA from specimens resected by ESD-CC were enrolled in this prospective study. The CC was used for all ESD steps (marking, mucosal incision, submucosal dissection, and hemostatic treatment), and its therapeutic efficacy and safety were assessed. RESULTS: Both the en-bloc resection rate and the R0 resection rate were 100% (122/122). The mean surgical time was 77.4 min, but the time varied significantly according to tumor size and location. No patients suffered perforation. Post-ESD-CC bleeding occurred in six cases (4.9%) that were successfully resolved by endoscopic hemostatic treatment. CONCLUSION: ESD-CC is a technically efficient, safe, and easy method for resecting GA. |
format | Online Article Text |
id | pubmed-5507825 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-55078252017-07-26 Endoscopic submucosal dissection of gastric adenomas using the clutch cutter Akahoshi, Kazuya Kubokawa, Masaru Gibo, Junya Osada, Shigeki Tokumaru, Kayo Yamaguchi, Eriko Ikeda, Hiroko Sato, Takao Miyamoto, Kazuaki Kimura, Yusuke Shiratsuchi, Yuki Akahoshi, Kazuaki Oya, Masafumi Koga, Hidenobu Ihara, Eikichi Nakamura, Kazuhiko World J Gastrointest Endosc Prospective Study AIM: To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) using the clutch cutter (CC) (ESD-CC) for gastric adenoma (GA). METHODS: From June 2007 to August 2015, 122 consecutive patients with histological diagnoses of GA from specimens resected by ESD-CC were enrolled in this prospective study. The CC was used for all ESD steps (marking, mucosal incision, submucosal dissection, and hemostatic treatment), and its therapeutic efficacy and safety were assessed. RESULTS: Both the en-bloc resection rate and the R0 resection rate were 100% (122/122). The mean surgical time was 77.4 min, but the time varied significantly according to tumor size and location. No patients suffered perforation. Post-ESD-CC bleeding occurred in six cases (4.9%) that were successfully resolved by endoscopic hemostatic treatment. CONCLUSION: ESD-CC is a technically efficient, safe, and easy method for resecting GA. Baishideng Publishing Group Inc 2017-07-16 2017-07-16 /pmc/articles/PMC5507825/ /pubmed/28744346 http://dx.doi.org/10.4253/wjge.v9.i7.334 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Prospective Study Akahoshi, Kazuya Kubokawa, Masaru Gibo, Junya Osada, Shigeki Tokumaru, Kayo Yamaguchi, Eriko Ikeda, Hiroko Sato, Takao Miyamoto, Kazuaki Kimura, Yusuke Shiratsuchi, Yuki Akahoshi, Kazuaki Oya, Masafumi Koga, Hidenobu Ihara, Eikichi Nakamura, Kazuhiko Endoscopic submucosal dissection of gastric adenomas using the clutch cutter |
title | Endoscopic submucosal dissection of gastric adenomas using the clutch cutter |
title_full | Endoscopic submucosal dissection of gastric adenomas using the clutch cutter |
title_fullStr | Endoscopic submucosal dissection of gastric adenomas using the clutch cutter |
title_full_unstemmed | Endoscopic submucosal dissection of gastric adenomas using the clutch cutter |
title_short | Endoscopic submucosal dissection of gastric adenomas using the clutch cutter |
title_sort | endoscopic submucosal dissection of gastric adenomas using the clutch cutter |
topic | Prospective Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507825/ https://www.ncbi.nlm.nih.gov/pubmed/28744346 http://dx.doi.org/10.4253/wjge.v9.i7.334 |
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