Mucosal defect closure using a calibrated, small-caliber-tip, transparent hood after colorectal endoscopic submucosal dissection

Nomura, Tatsuma; Sugimoto, Shinya; Temma, Taishi; Oyamada, Jun; Ito, Keiichi; Kamei, Akira

doi:10.1055/a-1750-8800

Cited by 7 publications

(10 citation statements)

References 5 publications

(5 reference statements)

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“…To address the aforementioned limitations of the E-Loc technique, we developed the reopenable clip (SureClip; Micro-Tech Co. Ltd., Nanjing, China) over the line method (ROLM), which can be used for defect closure without creating an SDS. 94,[102][103][104] In ROLM, a clip with a line is inserted through one of the holes of the reopenable clip to grasp the contralateral normal mucosal edge and the muscularis propria. ROLM can be performed after ER and does not require the removal of the scope or special devices (Fig.…”

Section: Mucosal Defect Closure Methods Designed To Reduce Sdsmentioning

confidence: 99%

Suturing techniques with endoscopic clips and special devices after endoscopic resection

Nomura

Sugimoto

Temma

et al. 2022

Digestive Endoscopy

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Endoscopic submucosal dissection is an established method for complete resection of large and early gastrointestinal tumors. However, methods to reduce bleeding, perforation, and other adverse events after endoscopic resection (ER) have not yet been defined. Mucosal defect closure is often performed endoscopically with a clip. Recently, reopenable clips and large‐teeth clips have also been developed. The over‐the‐scope clip enables complete defect closure by withdrawing the endoscope once and attaching the clip. Other methods involve attaching the clip‐line or a ring with an anchor to appose the edges of the mucosal defect, followed by the use of an additional clip for defect closure. Since clips are limited by their grasping force and size, other methods, such as endoloop closure, endoscopic ligation with O‐ring closure, and the reopenable clip over‐the‐line method, have been developed. In recent years, techniques often utilized for full‐thickness ER of submucosal tumors have been widely used in full‐thickness defect closure. Specialized devices and techniques for defect closure have also been developed, including the curved needle and line, stitches, and an endoscopic tack and suture device. These clips and suture devices are applied for defect closure in emergency endoscopy, accidental perforations, and acute and chronic fistulas. Although endoscopic defect closure with clips has a high success rate, endoscopists need to simplify and promote endoscopic closure techniques to prevent adverse events after ER.

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Section: Mucosal Defect Closure Methods Designed To Reduce Sdsmentioning

confidence: 99%

Suturing techniques with endoscopic clips and special devices after endoscopic resection

Nomura

Sugimoto

Temma

et al. 2022

Digestive Endoscopy

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“…This continuous saline infusion facilitates smooth dissection by preventing the obstruction of the endoscopic field of vision by gas. Furthermore, the saline immersion technique softens the mucosa and muscles, enabling easy closure of the defect using the reopenable clip-over-line method [5]. The gas-free saline-immersion technique for ESD is a feasible method with no CO 2 gas emission during saline immersion.…”

Section: E1039mentioning

confidence: 99%

Colorectal endoscopic submucosal dissection using a gas-free saline-immersion dissection technique

Nomura,

Sugimoto,

Hayashi

et al. 2023

Endoscopy

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“…Although various methods have been devised for tumor dissection, none have reported visualization of the tumor border on the appendiceal side prior to ESD. We have previously reported a calibrated, small‐caliber tip, transparent hood (CAST hood; TOP, Tokyo, Japan) that enables accurate fibrotic dissection 2,3 . This report presents a technique using the CAST hood that allows visualization and complete resection of the border of a tumor located at the appendiceal orifice (Fig.…”

Section: Brief Explanationmentioning

confidence: 99%

“…We have previously reported a calibrated, small-caliber tip, transparent hood (CAST hood; TOP, Tokyo, Japan) that enables accurate fibrotic dissection. 2,3 This report presents a technique using the CAST hood that allows visualization and complete resection of the border of a tumor located at the appendiceal orifice (Fig. 1, Video S1).The patient had a Paris type 0-IIa, granular type, laterally spreading tumor at the appendiceal orifice.…”

mentioning

confidence: 99%

Colorectal endoscopic submucosal dissection with a calibrated, small‐caliber tip, transparent hood for tumors in the appendiceal orifice

Nomura

Sugimoto

Ito³

2023

Digestive Endoscopy

Self Cite

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Mucosal defect closure using a calibrated, small-caliber-tip, transparent hood after colorectal endoscopic submucosal dissection

Cited by 7 publications

References 5 publications

Suturing techniques with endoscopic clips and special devices after endoscopic resection

Suturing techniques with endoscopic clips and special devices after endoscopic resection

Colorectal endoscopic submucosal dissection using a gas-free saline-immersion dissection technique

Colorectal endoscopic submucosal dissection with a calibrated, small‐caliber tip, transparent hood for tumors in the appendiceal orifice

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