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Effectiveness of clip-and-snare method using pre-looping technique for gastric endoscopic submucosal dissection

World Journal of Gastrointestinal Endoscopy 2016年第12期8卷 451-457页

作者： Naohiro Yoshida Hisashi Doyama Ryosuke Ota Yasuhito Takeda Hiroyoshi Nakanishi Kei Tominaga Shigetsugu Tsuji Kenichi Takemura Department of Gastroenterology Ishikawa Prefectural Central Hospital

AIM:To evaluate efficacy and safety of clip-and-snare method using pre-looping technique(CSM-PLT)for gastric endoscopic submucosal dissection(ESD).METHODS:In the CSM-PLT method,a clip attached to the lesion side was strangulated with a snare,followed by application of an appropriate tension to the lesion independent of an *** consecutive lesions were resected by ESD using CSM-PLT(CSM-PLT group)and compared with a control group,including20 lesions that were resected by conventional *** control group was matched based on the size and location of the lesion,presence of pathologic fibrosis,and experience of *** procedure time of ESD,proportion of en bloc resection,and complications were ***:The total procedure time for the CSM-PLT group was significantly shorter than that for the control group(38.5 min vs 59.5 min,P=0.023);all lesions were resected en bloc by *** was no significant difference in complications between the two ***,there was no complication in the CSM-PLT *** one large lesion(size:74 mm)that underwentextensive CSM-PLT during ESD,we used an additional CSM-PLT on another edge of the lesion after achieving submucosal resection to the maximum extent possible during initial *** two lesions,the snare came off the lesion together with the clip after a sudden pull;nevertheless,ESD was successful in all ***:CSM-PLT was an effective and safe method for gastric ESD.

关键词： Endoscopic submucosal dissection Clipand-snare method pre-looping technique Endoscope Dissection

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