Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study
Background and study aims: Colonic endoscopic submucosal dissection (ESD) is a challenging procedure because it is often difficult to maintain good visualization of the submucosal layer. To facilitate colonic ESD, we designed a novel traction method, namely traction-assisted colonic ESD using clip a...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2016-01-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-107779 |
| _version_ | 1818684767969738752 |
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| author | Yasushi Yamasaki Yoji Takeuchi Noriya Uedo Minoru Kato Kenta Hamada Kenji Aoi Yusuke Tonai Noriko Matsuura Takashi Kanesaka Takeshi Yamashina Tomofumi Akasaka Noboru Hanaoka Koji Higashino Ryu Ishihara Hiroyasu Iishi |
| author_facet | Yasushi Yamasaki Yoji Takeuchi Noriya Uedo Minoru Kato Kenta Hamada Kenji Aoi Yusuke Tonai Noriko Matsuura Takashi Kanesaka Takeshi Yamashina Tomofumi Akasaka Noboru Hanaoka Koji Higashino Ryu Ishihara Hiroyasu Iishi |
| author_sort | Yasushi Yamasaki |
| collection | DOAJ |
| description | Background and study aims: Colonic endoscopic submucosal dissection (ESD) is a challenging procedure because it is often difficult to maintain good visualization of the submucosal layer. To facilitate colonic ESD, we designed a novel traction method, namely traction-assisted colonic ESD using clip and line (TAC), and investigated its feasibility.
Patients and methods: We retrospectively analyzed 23 patients with large colonic superficial lesions who had undergone TAC. The main outcome was the procedural success rate of TAC, which we defined as successful, sustained application of clip and line to the lesion until the end of the procedure.
Results: The procedural success rate of TAC was 87 % (20/23). In all three unsuccessful cases, the lesions were in the proximal colon and the procedure times over 100 minutes. The overall mean procedure time was 61 min (95 % confidence interval, 18 – 172 min). We achieved en bloc resections of all lesions. There were no perforations or fatal adverse events.
Conclusions: TAC is feasible and safe for colonic ESD and may improve the ease of performing this procedure. |
| first_indexed | 2024-12-17T10:55:52Z |
| format | Article |
| id | doaj.art-c957c20fad82422781f4f5125ed702ce |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-17T10:55:52Z |
| publishDate | 2016-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-c957c20fad82422781f4f5125ed702ce2022-12-21T21:51:49ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362016-01-010401E51E5510.1055/s-0041-107779Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility studyYasushi Yamasaki0Yoji Takeuchi1Noriya Uedo2Minoru Kato3Kenta Hamada4Kenji Aoi5Yusuke Tonai6Noriko Matsuura7Takashi Kanesaka8Takeshi Yamashina9Tomofumi Akasaka10Noboru Hanaoka11Koji Higashino12Ryu Ishihara13Hiroyasu Iishi14Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanDepartment of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, JapanBackground and study aims: Colonic endoscopic submucosal dissection (ESD) is a challenging procedure because it is often difficult to maintain good visualization of the submucosal layer. To facilitate colonic ESD, we designed a novel traction method, namely traction-assisted colonic ESD using clip and line (TAC), and investigated its feasibility. Patients and methods: We retrospectively analyzed 23 patients with large colonic superficial lesions who had undergone TAC. The main outcome was the procedural success rate of TAC, which we defined as successful, sustained application of clip and line to the lesion until the end of the procedure. Results: The procedural success rate of TAC was 87 % (20/23). In all three unsuccessful cases, the lesions were in the proximal colon and the procedure times over 100 minutes. The overall mean procedure time was 61 min (95 % confidence interval, 18 – 172 min). We achieved en bloc resections of all lesions. There were no perforations or fatal adverse events. Conclusions: TAC is feasible and safe for colonic ESD and may improve the ease of performing this procedure.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-107779 |
| spellingShingle | Yasushi Yamasaki Yoji Takeuchi Noriya Uedo Minoru Kato Kenta Hamada Kenji Aoi Yusuke Tonai Noriko Matsuura Takashi Kanesaka Takeshi Yamashina Tomofumi Akasaka Noboru Hanaoka Koji Higashino Ryu Ishihara Hiroyasu Iishi Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study Endoscopy International Open |
| title | Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study |
| title_full | Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study |
| title_fullStr | Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study |
| title_full_unstemmed | Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study |
| title_short | Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study |
| title_sort | traction assisted colonic endoscopic submucosal dissection using clip and line a feasibility study |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-107779 |
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