Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection?
Background/Aims A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2021-07-01
|
| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2020-229.pdf |
| _version_ | 1797668382072373248 |
|---|---|
| author | Yunho Jung Gwang Ho Baik Weon Jin Ko Bong Min Ko Seong Hwan Kim Jin Seok Jang Jae-Young Jang Wan-Sik Lee Young Kwan Cho Sun Gyo Lim Hee Seok Moon In Kyung Yoo Joo Young Cho |
| author_facet | Yunho Jung Gwang Ho Baik Weon Jin Ko Bong Min Ko Seong Hwan Kim Jin Seok Jang Jae-Young Jang Wan-Sik Lee Young Kwan Cho Sun Gyo Lim Hee Seok Moon In Kyung Yoo Joo Young Cho |
| author_sort | Yunho Jung |
| collection | DOAJ |
| description | Background/Aims A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract of an animal model. Methods In this prospective animal pilot study, gastric and colorectal ESD using the FDLS was performed in ex vivo and in vivo porcine models. The completeness of en bloc resection, the procedure time, intraprocedural bleeding, histological injuries to the muscularis propria (MP) layer, and perforation were assessed. Results The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. Deep MP layer injuries tended to occur more frequently in the rectal than in the gastric ESD cases, and no intraprocedural bleeding occurred in either group. Conclusions The 1,940-nm FDLS was capable of yielding high en bloc resection rates without intraprocedural bleeding during gastric and colorectal ESD in animal models. |
| first_indexed | 2024-03-11T20:27:24Z |
| format | Article |
| id | doaj.art-8c9fdd7eb15b4fadaca9e4768092847f |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:27:24Z |
| publishDate | 2021-07-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-8c9fdd7eb15b4fadaca9e4768092847f2023-10-02T11:52:42ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432021-07-0154455556210.5946/ce.2020.2297459Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection?Yunho Jung0Gwang Ho Baik1Weon Jin Ko2Bong Min Ko3Seong Hwan Kim4Jin Seok Jang5Jae-Young Jang6Wan-Sik Lee7Young Kwan Cho8Sun Gyo Lim9Hee Seok Moon10In Kyung Yoo11Joo Young Cho12 Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Internal Medicine, Nowon Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea Department of Gastroenterology and Hepatology, College of Medicine, Kyung Hee University, Seoul, Korea Department of Internal Medicine, Chonnam National University Hwasun Hospital, Gwangju, Korea Department of Internal Medicine, Nowon Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea Division of Gastroenterology, Department of Internal Medicine, CHA Bundang Medical Center, Seongnam, Korea Division of Gastroenterology, Department of Internal Medicine, CHA Bundang Medical Center, Seongnam, KoreaBackground/Aims A new medical fiber-guided diode laser system (FDLS) is expected to offer high-precision cutting with simultaneous hemostasis. Thus, this study aimed to evaluate the feasibility of using the 1,940-nm FDLS to perform endoscopic submucosal dissection (ESD) in the gastrointestinal tract of an animal model. Methods In this prospective animal pilot study, gastric and colorectal ESD using the FDLS was performed in ex vivo and in vivo porcine models. The completeness of en bloc resection, the procedure time, intraprocedural bleeding, histological injuries to the muscularis propria (MP) layer, and perforation were assessed. Results The en bloc resection and perforation rates in the ex vivo study were 100% (10/10) and 10% (1/10), respectively; those in the in vivo study were 100% (4/4) and 0% for gastric ESD and 100% (4/4) and 25% (1/4) for rectal ESD, respectively. Deep MP layer injuries tended to occur more frequently in the rectal than in the gastric ESD cases, and no intraprocedural bleeding occurred in either group. Conclusions The 1,940-nm FDLS was capable of yielding high en bloc resection rates without intraprocedural bleeding during gastric and colorectal ESD in animal models.http://www.e-ce.org/upload/pdf/ce-2020-229.pdfendoscopic mucosal resectionhemostasislasersperforation |
| spellingShingle | Yunho Jung Gwang Ho Baik Weon Jin Ko Bong Min Ko Seong Hwan Kim Jin Seok Jang Jae-Young Jang Wan-Sik Lee Young Kwan Cho Sun Gyo Lim Hee Seok Moon In Kyung Yoo Joo Young Cho Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? Clinical Endoscopy endoscopic mucosal resection hemostasis lasers perforation |
| title | Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? |
| title_full | Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? |
| title_fullStr | Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? |
| title_full_unstemmed | Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? |
| title_short | Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection? |
| title_sort | diode laser can it replace the electrical current used in endoscopic submucosal dissection |
| topic | endoscopic mucosal resection hemostasis lasers perforation |
| url | http://www.e-ce.org/upload/pdf/ce-2020-229.pdf |
| work_keys_str_mv | AT yunhojung diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT gwanghobaik diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT weonjinko diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT bongminko diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT seonghwankim diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT jinseokjang diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT jaeyoungjang diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT wansiklee diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT youngkwancho diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT sungyolim diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT heeseokmoon diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT inkyungyoo diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection AT jooyoungcho diodelasercanitreplacetheelectricalcurrentusedinendoscopicsubmucosaldissection |