Jun-Hyung Cho 1 , Joo Young Cho , Mi-Young Kim , Seong Ran Jeon , Tae Hee Lee , Hyun Gun Kim , So Young Jin , Su Jin Hong Show Affiliations »
Abstract
BACKGROUND AND STUDY AIM: This study aimed to evaluate the feasibility of a novel laser system for endoscopic submucosal dissection (ESD) of gastric epithelial neoplasia. PATIENTS AND METHODS: A total of 10 patients underwent ESD by a single expert endoscopist. A thulium 2-μm wavelength laser system was used for ESD procedures. Instead of using endoscopy knives, a 550-μm flexible silica fiber was inserted through the working channel of the endoscope. RESULTS: In all patients, ESD was completed using only the thulium laser, without the need for endoscopy knives. The median total procedure time was 49 minutes (range 35 - 203). In 8 /10 patients (80 %), no active bleeding was observed during ESD. The final pathologic mapping revealed low-grade dysplasia (n = 4), differentiated adenocarcinoma (n = 5), and signet ring cell carcinoma (n = 1). Curative resection was achieved in 9 /10 patients (90 %). There were no significant complications, such as delayed bleeding or perforation. CONCLUSIONS: The thulium laser system was feasible in ESD of gastric epithelial neoplasia. © Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND AND STUDY AIM: This study aimed to evaluate the feasibility of a novel laser system for endoscopic submucosal dissection (ESD) of gastric epithelial neoplasia . PATIENTS AND METHODS: A total of 10 patients underwent ESD by a single expert endoscopist. A thulium 2-μm wavelength laser system was used for ESD procedures. Instead of using endoscopy knives, a 550-μm flexible silica fiber was inserted through the working channel of the endoscope. RESULTS: In all patients , ESD was completed using only the thulium laser, without the need for endoscopy knives. The median total procedure time was 49 minutes (range 35 - 203). In 8 /10 patients (80 %), no active bleeding was observed during ESD. The final pathologic mapping revealed low-grade dysplasia (n = 4), differentiated adenocarcinoma (n = 5), and signet ring cell carcinoma (n = 1). Curative resection was achieved in 9 /10 patients (90 %). There were no significant complications, such as delayed bleeding or perforation. CONCLUSIONS: The thulium laser system was feasible in ESD of gastric epithelial neoplasia . © Georg Thieme Verlag KG Stuttgart · New York.
Entities: Chemical
Disease
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Year: 2013
PMID： 23884792 DOI： 10.1055/s-0033-1344215
Source DB: PubMed Journal: Endoscopy ISSN： 0013-726X Impact factor: 10.093