Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion

Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) has emerged as a standard and convenient method for the sampling of subepithelial lesions (SELs). Immunohistological analysis is required to definitively distinguish mesenchymal tumors; however, EUS-FNA provides insufficient material to...

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Autores principales: Kobara, Hideki, Kobayashi, Nobuya, Nishiyama, Noriko, Tada, Naoya, Fujihara, Shintaro, Masaki, Tsutomu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Interesting Images
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556007/
https://www.ncbi.nlm.nih.gov/pubmed/32932714
http://dx.doi.org/10.3390/diagnostics10090690
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author Kobara, Hideki
Kobayashi, Nobuya
Nishiyama, Noriko
Tada, Naoya
Fujihara, Shintaro
Masaki, Tsutomu
author_facet Kobara, Hideki
Kobayashi, Nobuya
Nishiyama, Noriko
Tada, Naoya
Fujihara, Shintaro
Masaki, Tsutomu
author_sort Kobara, Hideki
collection PubMed
description Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) has emerged as a standard and convenient method for the sampling of subepithelial lesions (SELs). Immunohistological analysis is required to definitively distinguish mesenchymal tumors; however, EUS-FNA provides insufficient material to achieve this, especially for small SELs < 2 cm. We therefore previously reported a novel submucosal tunneling biopsy (STB) technique that utilizes endoscopic submucosal dissection (ESD) for sampling SELs. However, unresolved advanced technical issues have hindered its widespread application. Currently, a counter-traction technique is used to facilitate ESD. We here describe a technically simplified STB technique using clip-with-line traction for gastric SELs.
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spelling pubmed-75560072020-10-19 Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion Kobara, Hideki Kobayashi, Nobuya Nishiyama, Noriko Tada, Naoya Fujihara, Shintaro Masaki, Tsutomu Diagnostics (Basel) Interesting Images Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) has emerged as a standard and convenient method for the sampling of subepithelial lesions (SELs). Immunohistological analysis is required to definitively distinguish mesenchymal tumors; however, EUS-FNA provides insufficient material to achieve this, especially for small SELs < 2 cm. We therefore previously reported a novel submucosal tunneling biopsy (STB) technique that utilizes endoscopic submucosal dissection (ESD) for sampling SELs. However, unresolved advanced technical issues have hindered its widespread application. Currently, a counter-traction technique is used to facilitate ESD. We here describe a technically simplified STB technique using clip-with-line traction for gastric SELs. MDPI 2020-09-12 /pmc/articles/PMC7556007/ /pubmed/32932714 http://dx.doi.org/10.3390/diagnostics10090690 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Kobara, Hideki
Kobayashi, Nobuya
Nishiyama, Noriko
Tada, Naoya
Fujihara, Shintaro
Masaki, Tsutomu
Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion
title Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion
title_full Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion
title_fullStr Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion
title_full_unstemmed Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion
title_short Simplified Submucosal Tunneling Biopsy Using Clip-With-Line Traction and Closure for Gastric Subepithelial Lesion
title_sort simplified submucosal tunneling biopsy using clip-with-line traction and closure for gastric subepithelial lesion
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556007/
https://www.ncbi.nlm.nih.gov/pubmed/32932714
http://dx.doi.org/10.3390/diagnostics10090690
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