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Recent Development of Techniques and Devices in Colorectal Endoscopic Submucosal Dissection
Hiroya Mizutani,Satoshi Ono,Daisuke Ohki,Chihiro Takeuchi,Seiichi Yakabi,Yosuke Kataoka,Itaru Saito,Yoshiki Sakaguchi,Chihiro Minatsuki,Yosuke Tsuji,Keiko Niimi,Shinya Kodashima,Nobutake Yamamichi,Mit 대한소화기내시경학회 2017 Clinical Endoscopy Vol.50 No.6
Colorectal endoscopic submucosal dissection (ESD) is now a well-established endoscopic treatment for early-stage colorectal neoplasms, especially in Asian countries, including Japan. Despite the spread of colorectal ESD, there are still situations in which achieving successful submucosal dissection is difficult. Various novel techniques and devices have been developed to overcome these difficulties, and past reports have shown that some of these strategies can be applied to colorectal ESD. We review several recent developments in the field. The techniques reviewed include the pocket creation method and traction methods and the devices reviewed include the overtube with balloon and electrosurgical knives with water-jet function. These improved techniques and devices can facilitate safer, more reliable ESDs and expand its applicability and acceptability all over the world.
Short-Term Healing Process of Artificial Ulcers after Gastric Endoscopic Submucosal Dissection
( Osamu Goto ),( Mitsuhiro Fujishiro ),( Shinya Kodashima ),( Chihiro Minatsuki ),( Keiko Niimi ),( Satoshi Ono ),( Nobutake Yamamichi ),( Kazuhiko Koike ) 대한소화기기능성질환·운동학회 2011 Gut and Liver Vol.5 No.3
Background/Aims: The relationship between the appearance of an ulcer and postoperative bleeding after gastric endoscopic submucosal dissection (ESD) is not well understood. To explore this potential relationship, we retrospectively analyzed the short-term healing process of ESD. Methods: A total of 520 consecutive lesions in 434 patients seen between January 2004 and December 2009 were retrospectively investigated. At the second-look endoscopy, which occurred between 1 and 8 days after ESD, artificial ulcers were categorized into 6 patterns according to Forrest`s classification: spurting bleeding, oozing bleeding, non-bleeding visible vessel, adherent clot, black base/spot, and clean base. From these data, a short-term healing model of the artificial ulcer was generated. Results: Ulcers were observed to change gradually from a bloody to a clean surface. The bleeding or non-bleeding visible vessel categories, which occurred in approximately one quarter of the ulcers within 3 days of ESD, were rarely observed 4 days after ESD. Conclusions: Ulcers that occur after gastric ESD heal in line with a specific time course, and it appears that most healing occurs without massive bleeding. (Gut Liver 2011;5:293-297)