Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection
Background and study aims Complete closure of large mucosal defects after colorectal endoscopic submucosal dissection (C-ESD) is considered impossible in most cases because of the limited width of the open clip. We therefore invented a simple closure technique using clip-and-line, named “line-assist...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2017-01-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-121002 |
| _version_ | 1819105969689329664 |
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| author | Minoru Kato Yoji Takeuchi Yasushi Yamasaki Masamichi Arao Sho Suzuki Taro Iwatsubo Kenta Hamada Yusuke Tonai Satoki Shichijo Noriko Matsuura Hiroko Nakahira Takashi Kanesaka Tomofumi Akasaka Noboru Hanaoka Koji Higashino Noriya Uedo Ryu Ishihara Hiroyasu Iishi |
| author_facet | Minoru Kato Yoji Takeuchi Yasushi Yamasaki Masamichi Arao Sho Suzuki Taro Iwatsubo Kenta Hamada Yusuke Tonai Satoki Shichijo Noriko Matsuura Hiroko Nakahira Takashi Kanesaka Tomofumi Akasaka Noboru Hanaoka Koji Higashino Noriya Uedo Ryu Ishihara Hiroyasu Iishi |
| author_sort | Minoru Kato |
| collection | DOAJ |
| description | Background and study aims Complete closure of large mucosal defects after colorectal endoscopic submucosal dissection (C-ESD) is considered impossible in most cases because of the limited width of the open clip. We therefore invented a simple closure technique using clip-and-line, named “line-assisted complete closure (LACC)”, and assessed its technical feasibility.
Patients and methods Between January and February 2016, we performed LACC in 11 patients after C-ESD and included them in this retrospective feasibility study. Outcome measures were procedural success rate, procedure time, and post-procedural complications.
Results The median size of the resected specimen was 36 mm (range 30 – 72 mm). Procedural success was achieved in 10 of 11 cases (91 %). Those 10 cases required a median of 9 endoclips (range 6 – 12) for complete closure. Median procedure time for LACC was 14 minutes (range 6 – 22). No complications were observed in any of the cases after the procedure.
Conclusion LACC is a simple and feasible technique for complete closure of large mucosal defects after C-ESD. |
| first_indexed | 2024-12-22T02:30:42Z |
| format | Article |
| id | doaj.art-29cdd12bdc624a2d8a887338cf2c5eab |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-22T02:30:42Z |
| publishDate | 2017-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-29cdd12bdc624a2d8a887338cf2c5eab2022-12-21T18:41:54ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362017-01-010501E11E1610.1055/s-0042-121002Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissectionMinoru Kato0Yoji Takeuchi1Yasushi Yamasaki2Masamichi Arao3Sho Suzuki4Taro Iwatsubo5Kenta Hamada6Yusuke Tonai7Satoki Shichijo8Noriko Matsuura9Hiroko Nakahira10Takashi Kanesaka11Tomofumi Akasaka12Noboru Hanaoka13Koji Higashino14Noriya Uedo15Ryu Ishihara16Hiroyasu Iishi17Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanBackground and study aims Complete closure of large mucosal defects after colorectal endoscopic submucosal dissection (C-ESD) is considered impossible in most cases because of the limited width of the open clip. We therefore invented a simple closure technique using clip-and-line, named “line-assisted complete closure (LACC)”, and assessed its technical feasibility. Patients and methods Between January and February 2016, we performed LACC in 11 patients after C-ESD and included them in this retrospective feasibility study. Outcome measures were procedural success rate, procedure time, and post-procedural complications. Results The median size of the resected specimen was 36 mm (range 30 – 72 mm). Procedural success was achieved in 10 of 11 cases (91 %). Those 10 cases required a median of 9 endoclips (range 6 – 12) for complete closure. Median procedure time for LACC was 14 minutes (range 6 – 22). No complications were observed in any of the cases after the procedure. Conclusion LACC is a simple and feasible technique for complete closure of large mucosal defects after C-ESD.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-121002 |
| spellingShingle | Minoru Kato Yoji Takeuchi Yasushi Yamasaki Masamichi Arao Sho Suzuki Taro Iwatsubo Kenta Hamada Yusuke Tonai Satoki Shichijo Noriko Matsuura Hiroko Nakahira Takashi Kanesaka Tomofumi Akasaka Noboru Hanaoka Koji Higashino Noriya Uedo Ryu Ishihara Hiroyasu Iishi Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection Endoscopy International Open |
| title | Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection |
| title_full | Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection |
| title_fullStr | Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection |
| title_full_unstemmed | Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection |
| title_short | Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection |
| title_sort | technical feasibility of line assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-121002 |
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