Endoscopic mucosal resection with a cap-fitted panendoscope for esophagus, stomach, and colon mucosal lesions

“…We used a single-channel upper gastrointestinal endoscope (GIF-Q240; Olympus Medical Systems, Tokyo, Japan) between ( 32 ). Aft er marking about 2 mm from the lesion margin and lift ing with saline solution injection, the targeted area was suctioned into the cap and grasped by the snare.…”

Section: Endoscopic Resectionmentioning

confidence: 99%

“…Aft er marking about 2 mm from the lesion margin and lift ing with saline solution injection, the targeted area was suctioned into the cap and grasped by the snare. Th e lesion was then cut using a snare with electrocautery ( 32 ). ESD was performed mainly using a Hook knife (Olympus Medical Systems) as described by Oyama et al ( 14 ).…”

Section: Endoscopic Resectionmentioning

confidence: 99%

Comparison of the Long-Term Outcomes of Endoscopic Resection for Superficial Squamous Cell Carcinoma and Adenocarcinoma of the Esophagus in Japan

Nakagawa

Koike

Iijima

et al. 2014

American Journal of Gastroenterology

View full text Add to dashboard Cite

OBJECTIVES:Few studies have simultaneously evaluated the long-term outcomes of endoscopic resection (ER) for squamous cell carcinoma (SCC) and adenocarcinoma (AC) of the esophagus in Japan. The objective of this study was to evaluate the long-term outcomes of ER for superfi cial esophageal cancer in consecutive patients. METHODS:This was a retrospective study from a single institution. From April 2001 to June 2012, 204 patients with SCC and 26 patients with AC were included from a total of 355 consecutive patients who were treated by esophageal ER at the Tohoku University Hospital. Patients with submucosal invasion deeper than 200 μ m and lymphovascular involvement were excluded. The intervention followed was endoscopic therapy. RESULTS:Overall survival, disease-free survival, and recurrence rates were evaluated as long-term outcomes. In the SCC group, during the median observation time of 36.5 months (range, 6 -120 months), 22 (10.8 % ) patients experienced metachronous recurrence, 4 (2.0 % ) patients experienced local recurrence, and 27 (13.2 % ) patients died from causes unrelated to SCC. In the AC group, during the median observation time of 45.5 months (range, 6 -131 months), one patient (3.8 % ) experienced metachronous recurrence and two (7.7 % ) died from causes unrelated to AC. The cumulative 5-year overall survival rates were not signifi cantly different between SCC (75.9 % ) and AC (88.9 % ) ( P = 0.120). The cumulative 5-year disease-free survival rates of SCC (57.1 % ) were signifi cantly lower than those of AC (85.2 % ; P = 0.017). The cumulative 5-year recurrence rates of SCC (32.0 % ) were signifi cantly higher than those of AC (4.2 % ; P = 0.023). CONCLUSIONS:The rate of recurrence after ER was higher in patients with SCC than that in patients with AC. These fi ndings suggest that, by detecting AC of the esophagus earlier, a satisfactory prognosis without recurrence can be expected after ER in Japan, and more rigorous endoscopic follow-up is necessary after ER in patients with SCC than in those with AC.

show abstract

“…Endoscopic mucosal resection (EMR) has been widely established as a safe and reasonable procedure for superficial gastrointestinal neoplasia [3,4]. However, the tumors are frequently removed in fragments [5,6], and specimens obtained by such piecemeal resection render pathological staging inaccurate [7]. This is a major factor leading to the high risk of recurrence when this technique is used on larger lesions [8].…”

mentioning

confidence: 99%

Optimal Duration of Proton Pump Inhibitor for Healing Artificial Ulcers After Endoscopic Submucosal Dissection for Early Gastric Cancer

Gotoda

2011

Dig Dis Sci

View full text Add to dashboard Cite

Endoscopic mucosal resection with a cap-fitted panendoscope for esophagus, stomach, and colon mucosal lesions

Cited by 522 publications

References 10 publications

Adequate endoscopic mucosal resection for early gastric cancer obtained from the dissecting microscopic features of the resected specimens

Adequate endoscopic mucosal resection for early gastric cancer obtained from the dissecting microscopic features of the resected specimens

Comparison of the Long-Term Outcomes of Endoscopic Resection for Superficial Squamous Cell Carcinoma and Adenocarcinoma of the Esophagus in Japan

Optimal Duration of Proton Pump Inhibitor for Healing Artificial Ulcers After Endoscopic Submucosal Dissection for Early Gastric Cancer

Contact Info

Product

Resources

About