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Efficacy of sufficient operation view by ring-shaped thread counter traction for safer duodenal ESD.
- Source :
-
Minimally Invasive Therapy & Allied Technologies . Dec2018, Vol. 27 Issue 6, p327-332. 6p. - Publication Year :
- 2018
-
Abstract
- Background: Duodenal ESD is considered especially difficult with perforation and bleeding. This study assessed safer duodenal ESD procedures, especially with regard to obtaining a good operation view using a ring-thread method and closure of a post-ESD artificial ulcer. Methods: From 2013 to 2015, 17 patients who were diagnosed with duodenal adenoma or early duodenal cancer >20mm in diameter underwent conventional ESD (C group). From 2016 to 2017, 12 patients underwent ring-shaped thread counter traction ESD with hemoclips and/or Over-The-Scope Clip (OTSC) (Ovesco Endoscopy GmbH, Tuebingen, Germany) closure of post ESD artificial ulcer (ring group). An observational study between the C group and Ring group was conducted. The primary outcome was perforation events during ESD (UMIN000026184). Results: There was a significant difference in perforation during ESD with five cases vs. 0 case in C and ring groups (p=.038). For bleeding that needed to be coagulated by forceps during ESD, there was a significant difference with four cases in the C group (p=.07). The total procedure time was 96.6 ± 28.2 and 72.8 ± 24.2 (min) with a significant difference (p=.027). Conclusions: Ring-shaped thread counter traction makes the most difficult duodenal ESD safer and easier without complications. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DUODENUM surgery
*ADENOMA
*SCIENTIFIC observation
*OBSTETRICAL forceps
*PATIENT safety
*POSTOPERATIVE care
*SURGICAL instruments
*DUODENAL tumors
*TREATMENT effectiveness
*INTESTINAL perforation
*ENDOSCOPIC gastrointestinal surgery
*SURGICAL blood loss
*EQUIPMENT & supplies
PEPTIC ulcer surgery
Subjects
Details
- Language :
- English
- ISSN :
- 13645706
- Volume :
- 27
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Minimally Invasive Therapy & Allied Technologies
- Publication Type :
- Academic Journal
- Accession number :
- 134631008
- Full Text :
- https://doi.org/10.1080/13645706.2018.1455706