Underwater clip closure method for mucosal defects after duodenal endoscopic submucosal dissection (with video)

被引：1

作者：

Ishida, Tsugitaka ^{[1
,3
]}

Dohi, Osamu ^{[1
]}

Seya, Mayuko ^{[1
]}

Yamauchi, Katsuma ^{[1
]}

Fukui, Hayato ^{[1
]}

Miyazaki, Hajime ^{[1
]}

Yasuda, Takeshi ^{[1
]}

Yoshida, Takuma ^{[1
,2
]}

Iwai, Naoto ^{[1
]}

Inoue, Ken ^{[1
]}

Yoshida, Naohisa ^{[1
]}

Konishi, Hideyuki ^{[1
]}

Itoh, Yoshito ^{[1
]}

机构：

[1] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Mol Gastroenterol & Hepatol, 465 Kawaramachi Hirokoji,Kamigyo Ku, Kyoto 6028566, Japan

[2] Kyoto Prefectural Univ Med, North Med Ctr, Dept Gastroenterol, Kyoto, Japan

[3] Saiseikai Shiga Hosp, Dept Gastroenterol, Shiga, Japan

来源：

DIGESTIVE ENDOSCOPY | 2024年 / 36卷 / 02期

关键词：

clip closure; delayed adverse event; early duodenal cancer; underwater; PREVENT DELAYED PERFORATION; POLYGLYCOLIC ACID SHEETS; FIBRIN GLUE; RESECTION;

D O I：

10.1111/den.14724

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Conventional clip closure of mucosal defects after duodenal endoscopic submucosal dissection decreases the incidence of delayed adverse events, but may result in incomplete closure, depending on size or location. This study aimed to assess the effectiveness of the underwater clip closure method for complete duodenal defect closure without the difficulties associated with conventional closure methods. We investigated 19 patients with 20 lesions who underwent endoscopic submucosal dissection of the duodenum and subsequent mucosal defect closure in underwater conditions at our facility between February 2021 and January 2022. The success rate of the underwater clip closure method was defined as the complete endoscopic closure of the mucosal defect; a success rate of 100% was achieved. The median resected specimen size was 34.3 mm, the median procedure time for mucosal defect closure was 14 min, and the median number of clips used per patient was 12. No delayed adverse events were observed. The underwater clip closure method is a feasible option for complete closure of mucosal defects, regardless of the size or location of a duodenal endoscopic submucosal dissection.

引用

页码：215 / 220

页数：6

共 15 条

[1] Clinical course and management of adverse events after endoscopic resection of superficial duodenal epithelial tumors: Multicenter retrospective study [J].

Dohi, Osamu ;

Kato, Motohiko ;

Takeuchi, Yoji ;

Hoteya, Shu ;

Oyama, Tsuneo ;

Nonaka, Satoru ;

Yoshimizu, Shoichi ;

Yoshida, Masao ;

Ohata, Ken ;

Miura, Yoshimasa ;

Hara, Yuko ;

Tsuji, Shigetsugu ;

Yamasaki, Yasushi ;

Ueyama, Hiroya ;

Kurahara, Koichi ;

Tashima, Tomoaki ;

Abe, Nobutsugu ;

Nakayama, Atsushi ;

Oda, Ichiro ;

Yahagi, Naohisa .

DIGESTIVE ENDOSCOPY, 2023, 35 (07) :879-888

[2] Efficacy and safety of endoscopic submucosal dissection using a scissors-type knife with prophylactic over-the-scope clip closure for superficial non-ampullary duodenal epithelial tumors [J].

Dohi, Osamu ;

Yoshida, Naohisa ;

Naito, Yuji ;

Yoshida, Takuma ;

Ishida, Tsugitaka ;

Azuma, Yuka ;

Kitae, Hiroaki ;

Matsumura, Shinya ;

Takayama, Shun ;

Ogita, Kazuyuki ;

Mizuno, Naoki ;

Nakano, Takahiro ;

Majima, Atsushi ;

Hirose, Ryohei ;

Inoue, Ken ;

Kamada, Kazuhiro ;

Uchiyama, Kazuhiko ;

Takagi, Tomohisa ;

Ishikawa, Takeshi ;

Konishi, Hideyuki ;

Morinaga, Yukiko ;

Kishimoto, Mitsuo ;

Itoh, Yoshito .

DIGESTIVE ENDOSCOPY, 2020, 32 (06) :904-913

[3] Endoscopic tissue shielding with polyglycolic acid sheets, fibrin glue and clips to prevent delayed perforation after duodenal endoscopic resection [J].

Doyama, Hisashi ;

Tominaga, Kei ;

Yoshida, Naohiro ;

Takemura, Kenichi ;

Yamada, Shinya .

DIGESTIVE ENDOSCOPY, 2014, 26 :41-45

[4] Short- and long-term outcomes of endoscopically treated superficial non-ampullary duodenal epithelial tumors [J].

Hara, Yuko ;

Goda, Kenichi ;

Dobashi, Akira ;

Ohya, Tomohiko Richard ;

Kato, Masayuki ;

Sumiyama, Kazuki ;

Mitsuishi, Takehiro ;

Hirooka, Shinichi ;

Ikegami, Masahiro ;

Tajiri, Hisao .

WORLD JOURNAL OF GASTROENTEROLOGY, 2019, 25 (06) :707-718

[5] Recent approach for preventing complications in upper gastrointestinal endoscopic submucosal dissection [J].

Hatta, Waku ;

Koike, Tomoyuki ;

Abe, Hiroko ;

Ogata, Yohei ;

Saito, Masahiro ;

Jin, Xiaoyi ;

Kanno, Takeshi ;

Uno, Kaname ;

Asano, Naoki ;

Imatani, Akira ;

Masamune, Atsushi .

DEN OPEN, 2022, 2 (01)

[6] Endoscopic Submucosal Dissection and Endoscopic Mucosal Resection for Non-Ampullary Superficial Duodenal Tumor [J].

Hoteya, Shu ;

Furuhata, Tsukasa ;

Takahito, Toba ;

Fukuma, Yumiko ;

Suzuki, Yugo ;

Kikuchi, Daisuke ;

Mitani, Toshifumi ;

Matsui, Akira ;

Yamashita, Satoshi ;

Nomura, Kosuke ;

Kuribayashi, Yasutaka ;

Iizuka, Toshiro ;

Kaise, Mitsuru .

DIGESTION, 2017, 95 (01) :36-42

[7] Outcomes of endoscopic resection for superficial duodenal tumors: 10 years' experience in 18 Japanese high volume centers [J].

Kato, Motohiko ;

Takeuchi, Yoji ;

Hoteya, Shu ;

Oyama, Tsuneo ;

Nonaka, Satoru ;

Yoshimizu, Shoichi ;

Kakushima, Naomi ;

Ohata, Ken ;

Yamamoto, Hironori ;

Hara, Yuko ;

Doyama, Hisashi ;

Dohi, Osamu ;

Yamasaki, Yasushi ;

Ueyama, Hiroya ;

Takimoto, Kengo ;

Kurahara, Koichi ;

Tashima, Tomoaki ;

Abe, Nobutsugu ;

Nakayama, Atsushi ;

Oda, Ichiro ;

Yahagi, Naohisa .

ENDOSCOPY, 2022, 54 (07) :663-670

[8] Clinical impact of closure of the mucosal defect after duodenal endoscopic submucosal dissection [J].

Kato, Motohiko ;

Ochiai, Yasutoshi ;

Fukuhara, Seiichiro ;

Maehata, Tadateru ;

Sasaki, Motoki ;

Kiguchi, Yoshiyuki ;

Akimoto, Teppei ;

Fujimoto, Ai ;

Nakayama, Atsushi ;

Kanai, Takanori ;

Yahagi, Naohisa .

GASTROINTESTINAL ENDOSCOPY, 2019, 89 (01) :87-93

[9] Predictors of technical difficulty for complete closure of mucosal defects after duodenal endoscopic resection [J].

Mizutani, Mari ;

Kato, Motohiko ;

Sasaki, Motoki ;

Masunaga, Teppei ;

Kubosawa, Yoko ;

Hayashi, Yukie ;

Kiguchi, Yoshiyuki ;

Takatori, Yusaku ;

Mutaguchi, Makoto ;

Matsuura, Noriko ;

Nakayama, Atsushi ;

Fukuhara, Seiichiro ;

Takabayashi, Kaoru ;

Maehata, Tadateru ;

Kanai, Takanori ;

Yahagi, Naohisa .

GASTROINTESTINAL ENDOSCOPY, 2021, 94 (04) :786-794

[10] Successful closing of duodenal ulcer after endoscopic submucosal dissection with over-the-scope clip to prevent delayed perforation [J].

Mori, Hirohito ;

Shintaro, Fujihara ;

Kobara, Hideki ;

Nishiyama, Noriko ;

Rafiq, Kazi ;

Kobayashi, Mitsuyoshi ;

Nakatsu, Toshiaki ;

Miichi, Noboru ;

Suzuki, Yasuyuki ;

Masaki, Tsutomu .

DIGESTIVE ENDOSCOPY, 2013, 25 (04) :459-461

← 1 2 →