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...

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Main Authors: Vitor Arantes, Takashi Toyonaga, Elias Alfonso Forero Piñeros
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2014-07-01
Series:Endoscopy International Open
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1377444
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author Vitor Arantes
Takashi Toyonaga
Elias Alfonso Forero Piñeros
author_facet Vitor Arantes
Takashi Toyonaga
Elias Alfonso Forero Piñeros
author_sort Vitor Arantes
collection DOAJ
description 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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spelling doaj.art-8b302751693849c6a91c1ba84f911eb12022-12-22T01:36:40ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362014-07-010203E193E19510.1055/s-0034-1377444Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissectionVitor Arantes0Takashi Toyonaga1Elias Alfonso Forero Piñeros2Faculdade de Medicina da Universidade Federal de Minas Gerais - Alfa Institute of Gastroenterology, Belo Horizonte, BrazillKobe University Hospital – Endoscopy, Kobe, JapanHospital de la Policia – Endoscopy, Bogota, ColombiaIn 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1377444
spellingShingle Vitor Arantes
Takashi Toyonaga
Elias Alfonso Forero Piñeros
Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection
Endoscopy International Open
title Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection
title_full Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection
title_fullStr Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection
title_full_unstemmed Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection
title_short Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection
title_sort polyethylene glycol submucosal irrigation a novel approach to improve visibility during endoscopic submucosal dissection
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1377444
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AT takashitoyonaga polyethyleneglycolsubmucosalirrigationanovelapproachtoimprovevisibilityduringendoscopicsubmucosaldissection
AT eliasalfonsoforeropineros polyethyleneglycolsubmucosalirrigationanovelapproachtoimprovevisibilityduringendoscopicsubmucosaldissection