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Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience
BACKGROUND AND AIMS: The Clutch Cutter (CC) can grasp, pull, coagulate, and incise targeted tissue with the use of electrosurgical current. It was developed as a biopsy technique to reduce the technical difficulty of endoscopic submucosal dissection (ESD) with knives. The aim of this study was to ev...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831854/ https://www.ncbi.nlm.nih.gov/pubmed/31709338 http://dx.doi.org/10.1016/j.vgie.2019.05.003 |
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author | Akahoshi, Kazuya Shiratsuchi, Yuki Oya, Masafumi Koga, Hidenobu Kubokawa, Masaru Nakama, Naotaka Akahoshi, Kazuaki Ihara, Eikichi |
author_facet | Akahoshi, Kazuya Shiratsuchi, Yuki Oya, Masafumi Koga, Hidenobu Kubokawa, Masaru Nakama, Naotaka Akahoshi, Kazuaki Ihara, Eikichi |
author_sort | Akahoshi, Kazuya |
collection | PubMed |
description | BACKGROUND AND AIMS: The Clutch Cutter (CC) can grasp, pull, coagulate, and incise targeted tissue with the use of electrosurgical current. It was developed as a biopsy technique to reduce the technical difficulty of endoscopic submucosal dissection (ESD) with knives. The aim of this study was to evaluate the efficacy and safety of ESD using the CC (ESD-CC) for early colorectal epithelial neoplasms (ECENs). METHODS: In this prospective study, we enrolled 437 consecutive patients with a diagnosis of ECEN between January 2009 and January 2018. They all satisfied the Japanese colorectal cancer treatment guidelines for ESD; namely, confirmation by preliminary endoscopy, EUS, and endoscopic biopsy. The CC was used for all steps of ESD (mucosal incision, submucosal dissection, and hemostatic treatment); therapeutic efficacy and safety were assessed. RESULTS: The en bloc resection rate was 99.3% (434/437), and the R0 resection rate was 87.0% (380/437). The mean operating time was 88.3 minutes. Perforation occurred in 10 cases (2.3%) and was managed with conservative medical treatment. Post-ESD-CC bleeding occurred in 10 cases (2.3%) and was successfully treated by endoscopic hemostatic treatment. CONCLUSIONS: ESD-CC is a technically efficient, safe, and easy method for resecting ECEN. |
format | Online Article Text |
id | pubmed-6831854 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-68318542019-11-08 Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience Akahoshi, Kazuya Shiratsuchi, Yuki Oya, Masafumi Koga, Hidenobu Kubokawa, Masaru Nakama, Naotaka Akahoshi, Kazuaki Ihara, Eikichi VideoGIE Video Case Series BACKGROUND AND AIMS: The Clutch Cutter (CC) can grasp, pull, coagulate, and incise targeted tissue with the use of electrosurgical current. It was developed as a biopsy technique to reduce the technical difficulty of endoscopic submucosal dissection (ESD) with knives. The aim of this study was to evaluate the efficacy and safety of ESD using the CC (ESD-CC) for early colorectal epithelial neoplasms (ECENs). METHODS: In this prospective study, we enrolled 437 consecutive patients with a diagnosis of ECEN between January 2009 and January 2018. They all satisfied the Japanese colorectal cancer treatment guidelines for ESD; namely, confirmation by preliminary endoscopy, EUS, and endoscopic biopsy. The CC was used for all steps of ESD (mucosal incision, submucosal dissection, and hemostatic treatment); therapeutic efficacy and safety were assessed. RESULTS: The en bloc resection rate was 99.3% (434/437), and the R0 resection rate was 87.0% (380/437). The mean operating time was 88.3 minutes. Perforation occurred in 10 cases (2.3%) and was managed with conservative medical treatment. Post-ESD-CC bleeding occurred in 10 cases (2.3%) and was successfully treated by endoscopic hemostatic treatment. CONCLUSIONS: ESD-CC is a technically efficient, safe, and easy method for resecting ECEN. Elsevier 2019-07-04 /pmc/articles/PMC6831854/ /pubmed/31709338 http://dx.doi.org/10.1016/j.vgie.2019.05.003 Text en © 2019 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Video Case Series Akahoshi, Kazuya Shiratsuchi, Yuki Oya, Masafumi Koga, Hidenobu Kubokawa, Masaru Nakama, Naotaka Akahoshi, Kazuaki Ihara, Eikichi Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience |
title | Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience |
title_full | Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience |
title_fullStr | Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience |
title_full_unstemmed | Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience |
title_short | Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience |
title_sort | endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience |
topic | Video Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831854/ https://www.ncbi.nlm.nih.gov/pubmed/31709338 http://dx.doi.org/10.1016/j.vgie.2019.05.003 |
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