Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection
In order to expand the availability of endoscopic submucosal dissection (ESD), measures to facilitate the procedure are necessary. When bleeding occurs, the examiner’s field of vision is critically impaired, and ESD becomes less efficient a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2014-07-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1377444 |
| Summary: | In order to expand the availability of endoscopic submucosal dissection (ESD),
measures to facilitate the procedure are necessary. When bleeding occurs, the
examiner’s field of vision is critically impaired, and ESD becomes less
efficient and more hazardous because of the presence of submucosal hematoma and
covered blood clot. We propose the use of polyethylene glycol (PEG) irrigation
as a simple and effective measure to improve visibility during submucosal
dissection, particularly when bleeding occurs. PEG irrigation facilitates
further dissection by allowing a better recognition of the submucosal fibers and
muscularis propria layer. |
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| ISSN: | 2364-3722 2196-9736 |