Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric Cancers
Although the thread-traction (TT) method has been found useful during endoscopic submucosal dissection (ESD) for early gastric cancers, the movement of the thread interferes with the movement of the endoscope, and the lesion can only be pulled to the mouth side. We have developed the novel TT method...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/9415497 |
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| author | Hisatsugu Noda Naotaka Ogasawara Akira Koshino Shouko Fukuta Takuroh Nagoya Hironori Hoshino Kazuhiro Nagao Tomoya Sugiyama Yoshihiro Kondo Yoshitsugi Ito Shinya Izawa Masahide Ebi Yasushi Funaki Makoto Sasaki Kunio Kasugai |
| author_facet | Hisatsugu Noda Naotaka Ogasawara Akira Koshino Shouko Fukuta Takuroh Nagoya Hironori Hoshino Kazuhiro Nagao Tomoya Sugiyama Yoshihiro Kondo Yoshitsugi Ito Shinya Izawa Masahide Ebi Yasushi Funaki Makoto Sasaki Kunio Kasugai |
| author_sort | Hisatsugu Noda |
| collection | DOAJ |
| description | Although the thread-traction (TT) method has been found useful during endoscopic submucosal dissection (ESD) for early gastric cancers, the movement of the thread interferes with the movement of the endoscope, and the lesion can only be pulled to the mouth side. We have developed the novel TT method using a sheath of polypectomy snare (TTSPS). The TTSPS method enables free and independent movement of the thread and the endoscope and allows pulling the lesion towards the anal as well as oral side. The median dissection times, numbers of instances of arterial bleeding, and numbers of local injections into the submucosal layer were significantly lower for ESD with TTSPS than for conventional ESD. Countertraction ESD using the TTSPS method is straightforward, safe, easy, noninvasive, and cost effective, and it uses instruments readily available in most hospitals to enhance visualization of cutting lines. Therefore, the TTSPS method can be universally applied in conventional ESD. |
| format | Article |
| id | doaj-art-8f8159a48ed040e4b9e4e6f03aa9f487 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-8f8159a48ed040e4b9e4e6f03aa9f4872025-02-03T05:44:28ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/94154979415497Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric CancersHisatsugu Noda0Naotaka Ogasawara1Akira Koshino2Shouko Fukuta3Takuroh Nagoya4Hironori Hoshino5Kazuhiro Nagao6Tomoya Sugiyama7Yoshihiro Kondo8Yoshitsugi Ito9Shinya Izawa10Masahide Ebi11Yasushi Funaki12Makoto Sasaki13Kunio Kasugai14Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanDepartment of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, JapanAlthough the thread-traction (TT) method has been found useful during endoscopic submucosal dissection (ESD) for early gastric cancers, the movement of the thread interferes with the movement of the endoscope, and the lesion can only be pulled to the mouth side. We have developed the novel TT method using a sheath of polypectomy snare (TTSPS). The TTSPS method enables free and independent movement of the thread and the endoscope and allows pulling the lesion towards the anal as well as oral side. The median dissection times, numbers of instances of arterial bleeding, and numbers of local injections into the submucosal layer were significantly lower for ESD with TTSPS than for conventional ESD. Countertraction ESD using the TTSPS method is straightforward, safe, easy, noninvasive, and cost effective, and it uses instruments readily available in most hospitals to enhance visualization of cutting lines. Therefore, the TTSPS method can be universally applied in conventional ESD.http://dx.doi.org/10.1155/2016/9415497 |
| spellingShingle | Hisatsugu Noda Naotaka Ogasawara Akira Koshino Shouko Fukuta Takuroh Nagoya Hironori Hoshino Kazuhiro Nagao Tomoya Sugiyama Yoshihiro Kondo Yoshitsugi Ito Shinya Izawa Masahide Ebi Yasushi Funaki Makoto Sasaki Kunio Kasugai Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric Cancers Gastroenterology Research and Practice |
| title | Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric Cancers |
| title_full | Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric Cancers |
| title_fullStr | Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric Cancers |
| title_full_unstemmed | Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric Cancers |
| title_short | Thread-Traction with a Sheath of Polypectomy Snare Facilitates Endoscopic Submucosal Dissection of Early Gastric Cancers |
| title_sort | thread traction with a sheath of polypectomy snare facilitates endoscopic submucosal dissection of early gastric cancers |
| url | http://dx.doi.org/10.1155/2016/9415497 |
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