Impact of the clip and snare method using the prelooping technique for colorectal endoscopic submucosal dissection.
Endoscopy
; 48(3): 281-5, 2016 Mar.
Article
en En
| MEDLINE
| ID: mdl-26517845
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 ANDMETHODS:
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. âThere 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; Pâ=â0.047). There were no significant differences in the complication rates (5.9â% vs. 8.1â%; Pâ=â1.00).CONCLUSIONS:
The CSM with PLT was effective and safe in this study.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias Colorrectales
/
Adenocarcinoma
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Adenoma
/
Colonoscopía
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Resección Endoscópica de la Mucosa
Tipo de estudio:
Observational_studies
Límite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Endoscopy
Año:
2016
Tipo del documento:
Article
País de afiliación:
Japón