@article{9c5a2cdd6a0941058a3f3434a1e9f847,
title = "Endoscopic submucosal dissection with internal traction for early gastric cancer (with video)",
abstract = "Background: EMR techniques have high success rates for treating small lesions of the upper-GI tract; however, tumors larger than 15 mm are frequently removed by piecemeal resection, which is associated with an increased rate of disease recurrence and difficulty in histologically evaluating the specimen. Objective: To describe a simple technique of using internal traction to facilitate endoscopic submucosal dissection (ESD) procedures in the excision of large, early gastric cancers. Design: Case series. Setting: A tertiary medical center in Taiwan. Patients and Methods: Eight patients with early gastric cancers larger than 20 mm underwent ESD. Interventions: A standard hemoclip modified with surgical suture was used to provide traction to improve visualization of the dissection plane during ESD. Main Outcome Measurements: Proportion with complete en bloc resection. Results: En bloc resection of the lesion was achieved in 8 patients. One patient underwent additional surgery because an adequate safe margin was not obtained by ESD. Limitations: One endoscopist performed all procedures, and only 8 patients were studied in an uncontrolled manner. Conclusions: The internal traction method appears to facilitate en bloc ESD of early gastric cancers larger than 20 mm. {\textcopyright} 2008 American Society for Gastrointestinal Endoscopy.",
keywords = "adult, aged, article, cancer patient, cancer surgery, clinical article, clip, controlled study, endoscopic surgery, female, gastrointestinal endoscopy, histopathology, human, male, priority journal, stomach cancer, suture, Taiwan, tertiary health care, tumor biopsy, Aged, Aged, 80 and over, Endoscopy, Gastrointestinal, Female, Humans, Male, Middle Aged, Stomach Neoplasms",
author = "Peng-Jen Chen and Heng-Cheng Chu and Wei-Kuo Chang and Tsai-Yuan Hsieh and You-Chen Chao",
note = "被引用次數:23 Export Date: 22 March 2016 CODEN: GAENB 通訊地址: Chao, Y.-C.; Current affiliations: Division of Gastroenterology, Tri-Service General Hospital, Taipei, Taiwan 參考文獻: Soetikno, R., Gotoda, T., Nakanishi, Y., Endoscopic mucosal resection (2003) Gastrointest Endosc, 57, pp. 567-579; Tanabe, S., Koizumi, W., Mitomi, H., Clinical outcome of endoscopic aspiration mucosectomy for early stage gastric cancer (2002) Gastrointest Endosc, 56, pp. 708-713; Gotoda, T., Endoscopic diagnosis and treatment for early gastric cancer (2004) Cancer Reviews: Asia-Pacific, 2, pp. 17-37; Kondo, H., Gotoda, T., Ono, H., Percutaneous traction-assisted EMR by using an insulation-tipped electrosurgical knife for early stage gastric cancer (2004) Gastrointest Endosc, 59, pp. 284-288; Kobayashi, T., Gotohda, T., Tamakawa, K., Magnetic anchor for more effective endoscopic mucosal resection (2004) Jpn J Clin Oncol, 34, pp. 118-123; Imaeda, H., Iwao, Y., Ogata, H., A new technique for endoscopic submucosal dissection for early gastric cancer using an external grasping forceps (2006) Endoscopy, 38, pp. 1007-1010; Onozato, Y., Ishihara, H., Iizuka, H., Endoscopic submucosal dissection for early gastric cancers and large flat adenomas (2006) Endoscopy, 38, pp. 980-986; Lee, I.L., Lin, P.Y., Tung, S.Y., Endoscopic submucosal dissection for the treatment of intraluminal gastric subepithelial tumors originating from the muscularis propria layer (2006) Endoscopy, 38, pp. 1024-1028; Chen, P.J., Hsieh, T.Y., Chao, Y.C., Clinical challenges and images in GI (2007) Gastroenterology, 132, p. 853. , 1209; Saito, Y., Emura, F., Matsuda, T., A new sinker-assisted endoscopic submucosal dissection for colorectal cancer (2005) Gastrointest Endosc, 62, pp. 297-301; Yamamoto, H., Kawata, H., Sunada, K., Successful en-bloc resection of large superficial tumors in the stomach and colon using sodium hyaluronate and small-caliber-tip transparent hood (2003) Endoscopy, 35, pp. 690-694; Yonezawa, J., Kaise, M., Sumiyama, K., A novel double-channel therapeutic endoscope ({"}R-scope{"}) facilitates endoscopic submucosal dissection of superficial gastric neoplasms (2006) Endoscopy, 38, pp. 1011-1015; Neuhaus, H., Costamagna, G., Devi{\`e}re, J., Endoscopic submucosal dissection (ESD) of early neoplastic gastric lesions using a new double-channel endoscope (the {"}R-scope{"}) (2006) Endoscopy, 38, pp. 1016-1023",
year = "2008",
doi = "10.1016/j.gie.2007.07.021",
language = "English",
volume = "67",
pages = "128--132",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Elsevier Inc.",
number = "1",
}