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 |
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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 |
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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. |
first_indexed | 2024-12-10T19:13:26Z |
format | Article |
id | doaj.art-8b302751693849c6a91c1ba84f911eb1 |
institution | Directory Open Access Journal |
issn | 2364-3722 2196-9736 |
language | English |
last_indexed | 2024-12-10T19:13:26Z |
publishDate | 2014-07-01 |
publisher | Georg Thieme Verlag KG |
record_format | Article |
series | Endoscopy International Open |
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 |
work_keys_str_mv | AT vitorarantes polyethyleneglycolsubmucosalirrigationanovelapproachtoimprovevisibilityduringendoscopicsubmucosaldissection AT takashitoyonaga polyethyleneglycolsubmucosalirrigationanovelapproachtoimprovevisibilityduringendoscopicsubmucosaldissection AT eliasalfonsoforeropineros polyethyleneglycolsubmucosalirrigationanovelapproachtoimprovevisibilityduringendoscopicsubmucosaldissection |