Shinya Yamada1, Hisashi Doyama1, Ryosuke Ota1, Yasuhito Takeda1, Kunihiro Tsuji1, Shigetsugu Tsuji1, Naohiro Yoshida1.
Abstract
BACKGROUND AND STUDY AIM: Endoscopic submucosal dissection (ESD) is more difficult to perform for colorectal tumors, but the use of traction to facilitate direct submucosal layer visualization is a promising method to reduce procedure times and complication rates. This study aimed to evaluate the efficacy and safety of the clip and snare method (CSM) with a prelooping technique (PLT) for colorectal tumors. PATIENTS AND METHODS: A total of 140 colorectal tumors were treated: 17 using the CSM with PLT; 123, used as controls, by standard ESD without these techniques. Therapeutic efficacy and safety were retrospectively assessed.
RESULTS: All tumors were successfully resected en bloc using the CSM with PLT. Multisegment resection was found in four tumors in the control group. There was a significant difference in the procedure time between the patients in the CSM with PLT group and the control group (45.6 vs. 70.1 minutes; P = 0.047). There were no significant differences in the complication rates (5.9 % vs. 8.1 %; P = 1.00).
CONCLUSIONS: The CSM with PLT was effective and safe in this study. © Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND AND STUDY AIM: Endoscopic submucosal dissection (ESD) is more difficult to perform for colorectal tumors, but the use of traction to facilitate direct submucosal layer visualization is a promising method to reduce procedure times and complication rates. This study aimed to evaluate the efficacy and safety of the clip and snare method (CSM) with a prelooping technique (PLT) for colorectal tumors. PATIENTS AND METHODS: A total of 140 colorectal tumors were treated: 17 using the CSM with PLT; 123, used as controls, by standard ESD without these techniques. Therapeutic efficacy and safety were retrospectively assessed.
RESULTS: All tumors were successfully resected en bloc using the CSM with PLT. Multisegment resection was found in four tumors in the control group. There was a significant difference in the procedure time between the patients in the CSM with PLT group and the control group (45.6 vs. 70.1 minutes; P = 0.047). There were no significant differences in the complication rates (5.9 % vs. 8.1 %; P = 1.00).
CONCLUSIONS: The CSM with PLT was effective and safe in this study. © Georg Thieme Verlag KG Stuttgart · New York.
Entities:
Mesh：
Year: 2015
PMID： 26517845 DOI： 10.1055/s-0034-1393241
Source DB: PubMed Journal: Endoscopy ISSN： 0013-726X Impact factor: 10.093