Korean J Gastrointest Endosc > Volume 36(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(6): 341-348.
효과적인 내시경 점막하 박리술을 위한 고무밴드와 클립을 이용한 견인법의 유용성
이보인ㆍ김병욱ㆍ최황ㆍ지정선ㆍ정우철ㆍ이강문ㆍ이인석ㆍ김진일ㆍ최명규ㆍ최규용ㆍ정인식ㆍ맹이소*
가톨릭대학교 의과대학 내과학교실, *병원병리학교실
Traction with using a Rubber Band and Clips for Effective Endoscopic Submucosal Dissection
Bo-In Lee, M.D., Byung-Wook Kim, M.D., Hwang Choi, M.D., Jeong-Seon Ji, M.D., Woo-Chul Chung, M.D., Kang-Moon Lee, M.D., In-Seok Lee, M.D., Jin-Il Kim, M.D., Myung-Gyu Choi, M.D., Kyu-Yong Choi, M.D., In-Sik Chung, M.D. and Lee-So Maeng, M.D.*
Departments of Internal Medicine and *Hospital Pathology, College of Medicine, The Catholic University of Korea, Incheon, Korea
Abstract

Background/Aims:
Traction with using a rubber band and clips may be helpful for performing endoscopic submucosal dissection (ESD) by keeping adequate tissue tension and satisfactory submucosal exposure.
Methods:
17 patients with noninvasive neoplasias or intramucosal cancers (16 gastric lesions and 1 colonic lesion) were included to evaluate this technique's feasibility (3), because of a difficult location for dissection (11), unsatisfactory mucosal elevation despite adequate submucosal injection (2), and a high risk of perforation from the thin colonic wall (1). Submucosal dissection was performed after traction was applied, with a using a rubber band and clips, to a precut margin of the lesion.
Results:
The mean sizes of the 16 gastric neoplasias and the corresponding resected specimens were 16±9 mm (6∼40) and 37±9 mm (18∼50), respectively, and the sizes of the colonic intramucosal cancers and the resected specimens were 41 mm and 51 mm), respectively. Both the en-bloc resection rate and the complete resection rate were 77%. Complete ESD without snaring was preformed in 10 cases (59%). The traction was assessed as useful in eleven cases (65%), not useful in two (12%), and annoying in four (23%).
Conclusions:
Traction with using a rubber band and clips can be useful for performing ESD. (Korean J Gastrointest Endosc 2008;36:341-348)
Key Words: Endoscopic submucosal dissection, Traction, Complication, Gastric neoplasms, Colorectal neoplasms
주요어: 내시경 점막하 박리술, 견인, 합병증, 위종양, 대장종양
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
  E-Mail
Share:      
METRICS
1,428
View
25
Download
Related articles
Gastric Angiolipoma Resected with Endoscopic Submucosal Dissection  2021 May;54(3)
Diode Laser—Can It Replace the Electrical Current Used in Endoscopic Submucosal Dissection?  2021 July;54(4)
Perforation of a Gastric Tear during Esophageal Endoscopic Submucosal Dissection under General Anesthesia  
The Role of Dual Red Imaging in Gastric Endoscopic Submucosal Dissection  2020 January;53(1)
Is Radical Surgery Necessary for All Patients Diagnosed as Having Non-Curative Endoscopic Submucosal Dissection?  2019 January;52(1)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro(LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: ce@kams.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer