Endoscopic Submucosal Dissection of Gastric Adenomas Using the Clutch Cutter

Overview

Journal World J Gastrointest Endosc

Publisher Baishideng Publishing Group

Date 2017 Jul 27

PMID 28744346

Citations 5

Authors

Kazuya Akahoshi

Masaru Kubokawa

Junya Gibo

Shigeki Osada

Kayo Tokumaru

Eriko Yamaguchi

Hiroko Ikeda

Takao Sato

Kazuaki Miyamoto

Yusuke Kimura

Yuki Shiratsuchi

Kazuaki Akahoshi

Masafumi Oya

Hidenobu Koga

Eikichi Ihara

Kazuhiko Nakamura

Affiliations

Soon will be listed here.

Abstract

Aim: To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) using the clutch cutter (CC) (ESD-CC) for gastric adenoma (GA).

Methods: From June 2007 to August 2015, 122 consecutive patients with histological diagnoses of GA from specimens resected by ESD-CC were enrolled in this prospective study. The CC was used for all ESD steps (marking, mucosal incision, submucosal dissection, and hemostatic treatment), and its therapeutic efficacy and safety were assessed.

Results: Both the resection rate and the R0 resection rate were 100% (122/122). The mean surgical time was 77.4 min, but the time varied significantly according to tumor size and location. No patients suffered perforation. Post-ESD-CC bleeding occurred in six cases (4.9%) that were successfully resolved by endoscopic hemostatic treatment.

Conclusion: ESD-CC is a technically efficient, safe, and easy method for resecting GA.

Citing Articles

Efficacy of scissor-type knife for endoscopic submucosal dissection: a systematic review and meta-analysis.

Gopakumar H, Vohra I, Sharma N, Puli S Ann Gastroenterol. 2023; 36(6):615-623.

PMID: 38023980 PMC: 10662071. DOI: 10.20524/aog.2023.0838.

Comparison of Needle Knife versus Scissors Forceps for Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study.

Yachida T, Kobara H, Kozuka K, Nakatani K, Tada N, Matsui T J Clin Med. 2023; 12(6).

PMID: 36983328 PMC: 10056117. DOI: 10.3390/jcm12062329.

Effects of the combined use of a scissor-type knife and traction clip on endoscopic submucosal dissection of colorectal tumors: a propensity score-matched analysis.

Inoue K, Yoshida N, Dohi O, Sugino S, Matsumura S, Kitae H Endosc Int Open. 2021; 9(11):E1617-E1626.

PMID: 34790523 PMC: 8589530. DOI: 10.1055/a-1535-0786.

Ex vivo porcine model study on the treatment outcomes of scissor-type knife versus needle-type knife in endoscopic submucosal dissection performed by trainees.

Ichijima R, Esaki M, Yamakawa S, Minoda Y, Suzuki S, Kusano C BMC Surg. 2020; 20(1):287.

PMID: 33213449 PMC: 7678282. DOI: 10.1186/s12893-020-00955-w.

Clutch Cutter knife efficacy in endoscopic submucosal dissection for early gastric neoplasms.

Hayashi Y, Esaki M, Suzuki S, Ihara E, Yokoyama A, Sakisaka S World J Gastrointest Oncol. 2019; 10(12):487-495.

PMID: 30595802 PMC: 6304306. DOI: 10.4251/wjgo.v10.i12.487.

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