Acceptability of Hybrid Endoscopic Submucosal Dissection Using Multifunctional Snare for Small-sized Gastric Neoplasms: A Prospective Observational Study

被引:2
作者
Chiyo, Taiga [1 ]
Kobara, Hideki [1 ]
Nishiyama, Noriko [1 ]
Nakatani, Kaho [1 ]
Tada, Naoya [1 ]
Koduka, Kazuhiro [1 ]
Matsui, Takanori [1 ]
Kobayashi, Nobuya [1 ]
Fujihara, Shintaro [1 ]
Yachida, Tatsuo [1 ]
Masaki, Tsutomu [1 ]
机构
[1] Kagawa Univ, Fac Med, Dept Gastroenterol & Neurol, Takamatsu, Kagawa, Japan
关键词
hybrid endoscopic submucosal dissection; SOUTEN; ESD; gastric cancer; endoscopy; TUMORS; EMR;
D O I
10.15403/jgld-4524
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background & Aims: The most suitable procedure for resecting small-sized gastric neoplasms remains unclear. Endoscopic mucosal resection leads to non-curative resection owing to slippage of the snare, and technically difficult endoscopic submucosal dissection (ESD) is instrumentally uneconomical. A novel, cost-effective, multifunctional snare called SOUTEN is available as a hybrid ESD (h-ESD) device developed for facilitating ESD. This study aimed to assess the acceptability of h-ESD using the SOUTEN for resecting small-sized gastric neoplasms. Methods: This was a prospective observational study conducted at our single institution between March 2019 and March 2021. Fifty-seven consecutive patients who underwent h-ESD using SOUTEN for small-sized gastric neoplasms =15 mm involving adenoma and tubular-type mucosal carcinoma without ulceration were enrolled. The primary outcome was curative resection rate for h-ESD. Secondary outcomes were the rates of conversion to ESD, rate of total (h-ESD + ESD) curative resection, procedure time, rates of intra-and postoperative complications, and presence of additional knives excluding hemostatic forceps. Results: The curative resection rate of h-ESD was 89.5% (51/57). The total (h-ESD + ESD) curative resection rate was 94.7% (54/57). The mean procedure time was 21.2 (+/- 16.5) minutes. One case of delayed bleeding occurred. Additional knives were applied in two cases. Conclusions: The cost-efficient h-ESD using SOUTEN can be an acceptable procedure for resecting smallsized gastric neoplasms.
引用
收藏
页码:390 / 395
页数:6
相关论文
共 12 条
[11]   Advantages of endoscopic submucosal dissection over conventional endoscopic mucosal resection [J].
Shimura, Takaya ;
Sasaki, Makoto ;
Kataoka, Hiromi ;
Tanida, Satoshi ;
Oshima, Tadayuki ;
Ogasawara, Naotaka ;
Wada, Tsuneya ;
Kubota, Eiji ;
Yamada, Tomonori ;
Mori, Yoshinori ;
Fujita, Fumitaka ;
Nakao, Haruhisa ;
Ohara, Hirotaka ;
Inukai, Masami ;
Kasugai, Kunio ;
Joh, Takashi .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2007, 22 (06) :821-826
[12]   Clinical outcomes of EMR for gastric tumors: historical pilot evaluation between endoscopic submucosal dissection and conventional mucosal resection [J].
Watanabe, K ;
Ogata, S ;
Kawazoe, S ;
Watanabe, K ;
Koyama, T ;
Kajiwara, T ;
Shimoda, Y ;
Takase, Y ;
Irie, K ;
Mizuguchi, M ;
Tsunada, S ;
Iwakiri, R ;
Fujimoto, K .
GASTROINTESTINAL ENDOSCOPY, 2006, 63 (06) :776-782