Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)

MATERIALS AND METHODS: This was a retrospective cohort study conducted in two municipal hospitals. We identified 24 patients with SNADETs of 3–18 mm in diameter who underwent UEMR or GIEMR. One lesion was excluded from the analysis because it was found to be in the stomach after surgery. The primary...

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Autores principales: Yamashina, Takeshi, Shimatani, Masaaki, Takahashi, Yu, Takeo, Masahiro, Saito, Natsuko, Matsumoto, Hironao, Kasai, Takeshi, Kano, Masataka, Sumimoto, Kimi, Mitsuyama, Toshiyuki, Marusawa, Hiroyuki, Nishio, Akiyoshi, Yuba, Takafumi, Seki, Toshihito, Naganuma, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9217606/
https://www.ncbi.nlm.nih.gov/pubmed/35756502
http://dx.doi.org/10.1155/2022/2040792
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author Yamashina, Takeshi
Shimatani, Masaaki
Takahashi, Yu
Takeo, Masahiro
Saito, Natsuko
Matsumoto, Hironao
Kasai, Takeshi
Kano, Masataka
Sumimoto, Kimi
Mitsuyama, Toshiyuki
Marusawa, Hiroyuki
Nishio, Akiyoshi
Yuba, Takafumi
Seki, Toshihito
Naganuma, Makoto
author_facet Yamashina, Takeshi
Shimatani, Masaaki
Takahashi, Yu
Takeo, Masahiro
Saito, Natsuko
Matsumoto, Hironao
Kasai, Takeshi
Kano, Masataka
Sumimoto, Kimi
Mitsuyama, Toshiyuki
Marusawa, Hiroyuki
Nishio, Akiyoshi
Yuba, Takafumi
Seki, Toshihito
Naganuma, Makoto
author_sort Yamashina, Takeshi
collection PubMed
description MATERIALS AND METHODS: This was a retrospective cohort study conducted in two municipal hospitals. We identified 24 patients with SNADETs of 3–18 mm in diameter who underwent UEMR or GIEMR. One lesion was excluded from the analysis because it was found to be in the stomach after surgery. The primary outcome was procedure time. RESULTS: GIEMR significantly reduced the procedure time compared with UEMR (5 min vs. 10 min, P = 0.016). There was no significant difference between the UEMR and GIEMR groups for en bloc resection rate (93% vs. 100%, P = 1.0) and R0 resection rate (57% vs. 80%, P = 0.39). No serious complications were observed in either group. CONCLUSIONS: GIEMR of SNADET has the potential to reduce procedure time compared with UEMR and may be particularly effective in areas where immersion in water is difficult.
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spelling pubmed-92176062022-06-23 Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video) Yamashina, Takeshi Shimatani, Masaaki Takahashi, Yu Takeo, Masahiro Saito, Natsuko Matsumoto, Hironao Kasai, Takeshi Kano, Masataka Sumimoto, Kimi Mitsuyama, Toshiyuki Marusawa, Hiroyuki Nishio, Akiyoshi Yuba, Takafumi Seki, Toshihito Naganuma, Makoto Gastroenterol Res Pract Research Article MATERIALS AND METHODS: This was a retrospective cohort study conducted in two municipal hospitals. We identified 24 patients with SNADETs of 3–18 mm in diameter who underwent UEMR or GIEMR. One lesion was excluded from the analysis because it was found to be in the stomach after surgery. The primary outcome was procedure time. RESULTS: GIEMR significantly reduced the procedure time compared with UEMR (5 min vs. 10 min, P = 0.016). There was no significant difference between the UEMR and GIEMR groups for en bloc resection rate (93% vs. 100%, P = 1.0) and R0 resection rate (57% vs. 80%, P = 0.39). No serious complications were observed in either group. CONCLUSIONS: GIEMR of SNADET has the potential to reduce procedure time compared with UEMR and may be particularly effective in areas where immersion in water is difficult. Hindawi 2022-06-15 /pmc/articles/PMC9217606/ /pubmed/35756502 http://dx.doi.org/10.1155/2022/2040792 Text en Copyright © 2022 Takeshi Yamashina et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Yamashina, Takeshi
Shimatani, Masaaki
Takahashi, Yu
Takeo, Masahiro
Saito, Natsuko
Matsumoto, Hironao
Kasai, Takeshi
Kano, Masataka
Sumimoto, Kimi
Mitsuyama, Toshiyuki
Marusawa, Hiroyuki
Nishio, Akiyoshi
Yuba, Takafumi
Seki, Toshihito
Naganuma, Makoto
Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)
title Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)
title_full Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)
title_fullStr Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)
title_full_unstemmed Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)
title_short Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)
title_sort gel immersion endoscopic mucosal resection (emr) for superficial nonampullary duodenal epithelial tumors may reduce procedure time compared with underwater emr (with video)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9217606/
https://www.ncbi.nlm.nih.gov/pubmed/35756502
http://dx.doi.org/10.1155/2022/2040792
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