Details

Autor(en) / Beteiligte

• 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

Titel

Endoscopic submucosal dissection of gastric adenomas using the clutch cutter

Ist Teil von

• World journal of gastrointestinal endoscopy, 2017-07, Vol.9 (7), p.334-340

Ort / Verlag

United States: Baishideng Publishing Group Inc

Erscheinungsjahr

2017

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• 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 itstherapeutic 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.