Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine model
Background/Aims Guide tube-assisted endoscopy for procedures that require repeated endoscopic access is safer and more effective than conventional endoscopy. However, its effectiveness has not been confirmed in animal studies. We assessed the usefulness of guide tube-assisted endoscopic procedures i...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2024-01-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2022-161.pdf |
| _version_ | 1827368521661677568 |
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| author | Dong Seok Lee Jeong-Sik Byeon Sang Gyun Kim Ji Won Kim Kook Lae Lee Ji Bong Jeong Yong Jin Jung Hyoun Woo Kang |
| author_facet | Dong Seok Lee Jeong-Sik Byeon Sang Gyun Kim Ji Won Kim Kook Lae Lee Ji Bong Jeong Yong Jin Jung Hyoun Woo Kang |
| author_sort | Dong Seok Lee |
| collection | DOAJ |
| description | Background/Aims Guide tube-assisted endoscopy for procedures that require repeated endoscopic access is safer and more effective than conventional endoscopy. However, its effectiveness has not been confirmed in animal studies. We assessed the usefulness of guide tube-assisted endoscopic procedures in an in vivo porcine model. Methods Five different guide tube-assisted endoscopic procedures were performed by experienced endoscopists on a pig weighing 32 kg. To evaluate the efficacy of these procedures, we compared the endoscopic approach time when a guide tube was used to that when it was not. Additional endoscopic procedures using a guide tube were performed, including multiple foreign body extractions, multiple polypectomies, and multiple submucosal dissections. To evaluate safety, we compared the insertion force into the proximal esophagus between the guide tube and conventional overtube methods. Results Using the endoscopic approach with a guide tube required a shorter average approach time to reach the three target lesions than when using the endoscopic approach without a guide tube (p<0.001). Compared to the conventional overtube method, the guide tube method produced a lower average resistance during insertion into the upper esophagus (p<0.001). Conclusions Guide tube-assisted endoscopic procedures are effective and safe for repeated endoscopic access in an in vivo porcine model. |
| first_indexed | 2024-03-08T09:32:43Z |
| format | Article |
| id | doaj.art-40464a2feed44b96a9d12abf40158b49 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-08T09:32:43Z |
| publishDate | 2024-01-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-40464a2feed44b96a9d12abf40158b492024-01-30T23:10:54ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432024-01-01571828810.5946/ce.2022.1617765Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine modelDong Seok Lee0Jeong-Sik Byeon1Sang Gyun Kim2Ji Won Kim3Kook Lae Lee4Ji Bong Jeong5Yong Jin Jung6Hyoun Woo Kang7 Department of Gastroenterology, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Gastroenterology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Gastroenterology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea Department of Gastroenterology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea Department of Gastroenterology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea Department of Gastroenterology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea Department of Gastroenterology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, KoreaBackground/Aims Guide tube-assisted endoscopy for procedures that require repeated endoscopic access is safer and more effective than conventional endoscopy. However, its effectiveness has not been confirmed in animal studies. We assessed the usefulness of guide tube-assisted endoscopic procedures in an in vivo porcine model. Methods Five different guide tube-assisted endoscopic procedures were performed by experienced endoscopists on a pig weighing 32 kg. To evaluate the efficacy of these procedures, we compared the endoscopic approach time when a guide tube was used to that when it was not. Additional endoscopic procedures using a guide tube were performed, including multiple foreign body extractions, multiple polypectomies, and multiple submucosal dissections. To evaluate safety, we compared the insertion force into the proximal esophagus between the guide tube and conventional overtube methods. Results Using the endoscopic approach with a guide tube required a shorter average approach time to reach the three target lesions than when using the endoscopic approach without a guide tube (p<0.001). Compared to the conventional overtube method, the guide tube method produced a lower average resistance during insertion into the upper esophagus (p<0.001). Conclusions Guide tube-assisted endoscopic procedures are effective and safe for repeated endoscopic access in an in vivo porcine model.http://www.e-ce.org/upload/pdf/ce-2022-161.pdfaccessendoscopyguide tubemethods |
| spellingShingle | Dong Seok Lee Jeong-Sik Byeon Sang Gyun Kim Ji Won Kim Kook Lae Lee Ji Bong Jeong Yong Jin Jung Hyoun Woo Kang Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine model Clinical Endoscopy access endoscopy guide tube methods |
| title | Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine model |
| title_full | Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine model |
| title_fullStr | Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine model |
| title_full_unstemmed | Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine model |
| title_short | Efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions: an study in a porcine model |
| title_sort | efficacy of an assistive guide tube for improved endoscopic access to gastrointestinal lesions an study in a porcine model |
| topic | access endoscopy guide tube methods |
| url | http://www.e-ce.org/upload/pdf/ce-2022-161.pdf |
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