Safety and efficacy of endoscopic submucosal dissection using IT knife nano with clip traction method for early esophageal squamous cell ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-06-27

AUTHORS

Yoshiyasu Kitagawa, Takuto Suzuki, Taro Hara, Taketo Yamaguchi

ABSTRACT

BackgroundAlthough endoscopic submucosal dissection (ESD) is an accepted and established treatment for early esophageal squamous cell carcinoma (EESCC), it is technically difficult, time consuming, and less safe than endoscopic mucosal resection. To perform ESD safely and more efficiently, we proposed a new technique of esophageal ESD using an IT knife nano with the clip traction method. This study aimed to evaluate the efficacy and safety of ESD using this new technique.MethodsWe retrospectively reviewed all consecutive cases of esophageal ESD performed using an IT knife nano with the clip traction method at our hospital between March 2013 and January 2017. Therapeutic efficacy and safety were also assessed.ResultsA total of 103 patients underwent esophageal ESD using the IT knife nano with the clip traction method. In all cases, we performed en bloc resection. Complete resection was achieved in 100 cases (97.1%). The median operating time was 40 (range 13–230) min. No cases of perforation or delayed bleeding occurred. Although two cases (2.0%) of mediastinal emphysema occurred without visible perforation at endoscopy, all were successfully managed conservatively.ConclusionsThe new technique of esophageal ESD using the IT knife nano with the clip traction method appears to be feasible, effective, and safe for EESCC treatment. More... »

PAGES

450-455

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-017-5703-x

DOI

http://dx.doi.org/10.1007/s00464-017-5703-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1090278446

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28656340


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201 grid-institutes:grid.418490.0 schema:alternateName Department of Gastroenterology, Chiba Cancer Center, Chiba, Japan
202 Endoscopy Division, Chiba Cancer Center, 666-2 Nitonacho, Chuo-ku, Chiba, Japan
203 schema:name Department of Gastroenterology, Chiba Cancer Center, Chiba, Japan
204 Endoscopy Division, Chiba Cancer Center, 666-2 Nitonacho, Chuo-ku, Chiba, Japan
205 rdf:type schema:Organization
 




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