Successful removal of a giant esophageal lipoma with hybrid endoscopic submucosal dissection

Deshmukh, Ameya; Elmeligui, Ahmed M.; Parsa, Nasim; Tejedor-Tejada, Javier; Nieto, José

doi:10.1016/j.vgie.2021.05.020

Cited by 2 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, regarding colorectal lesions, those 2-3 cm in size were found to be most suitable for H-ESD [18] . H-ESD has also been used for esophageal lipoma [19] , anal canal broma [20] , rectal neuroendocrine tumor [21,22] resection, and even for full-thickness resection of T2 colorectal cancer [23] .…”

Section: Discussionmentioning

confidence: 99%

ALL-IN-ONE snare for hybrid endoscopic submucosal dissection versus conventional technology: A matched study in porcine model (with video)

Yang,

Ma,

et al. 2024

Preprint

View full text Add to dashboard Cite

Background and Objective This study aimed to evaluate the safety and efficiency of hybrid endoscopic submucosal dissection (H-ESD) using a newly developed ALL-IN-ONE (AIO) snare. Methods This was a matched control study in a porcine model. Five paired simulated stomach lesions 2–2.5 cm in size were removed by H-ESD using an AIO snare or conventional ESD (C-ESD) using an endoscopic knife. The outcomes of the two procedures were compared, including en bloc resection rates, procedure times, intraprocedural bleeding volumes, muscular injuries, perforations, thicknesses of the submucosal layer in resected specimens, and stomach defects. Results All simulated lesions were resected en bloc. Specimens resected by H-ESD and C-ESD were similar in size (7.68±2.92 vs. 8.42±2.42 cm2; P = 0.676). H-ESD required a significantly shorter procedure time (13.39±3.78 vs. 25.99±4.52 min; P = 0.031) and submucosal dissection time (3.99±1.73 vs. 13.1±4.58 min; P = 0.003) versus C-ESD; H-ESD also yielded a faster dissection speed (241.37±156.84 vs. 68.56±28.53 mm2/min; P = 0.042) and caused fewer intraprocedural bleeding events (0.40±0.55 vs. 3.40±1.95 times/per lesion; P = 0.016) than C-ESD. The thicknesses of the submucosal layer of the resected specimen (1190.98±134.07 vs. 1055.90±151.76 μm; P = 0.174) and the residual submucosal layer of the stomach defect (1607.94±1026.74 vs. 985.98±445.58 μm; P = 0.249) were similar with both procedures. Conclusion The AIO snare is a safe and effective device for H-ESD and improves the treatment outcomes of gastric lesions by shortening the procedure time.

show abstract

Section: Discussionmentioning

confidence: 99%

ALL-IN-ONE snare for hybrid endoscopic submucosal dissection versus conventional technology: A matched study in porcine model (with video)

Yang,

Ma,

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Safe and effective hybrid endoscopic submucosal dissection with ALL IN ONE snare in porcine gastric model (with video)

Yang,

Ma,

et al. 2024

Sci Rep

View full text Add to dashboard Cite

This study aimed to evaluate the safety and efficiency of hybrid endoscopic submucosal dissection (H-ESD) using a newly developed ALL IN ONE (AIO) snare. This was a matched control study in a porcine model. Five paired simulated stomach lesions 2–2.5 cm in size were removed by H-ESD using an AIO snare or conventional ESD (C-ESD) using an endoscopic knife. The outcomes of the two procedures were compared, including en-bloc resection rates, procedure times, intraprocedural bleeding volumes, muscular injuries, perforations, thicknesses of the submucosal layer in resected specimens, and stomach defects. All simulated lesions were resected en-bloc. Specimens resected by H-ESD and C-ESD were similar in size (7.68 ± 2.92 vs. 8.42 ± 2.42 cm2; P = 0.676). H-ESD required a significantly shorter procedure time (13.39 ± 3.78 vs. 25.99 ± 4.52 min; P = 0.031) and submucosal dissection time (3.99 ± 1.73 vs. 13.1 ± 4.58 min; P = 0.003) versus C-ESD; H-ESD also yielded a faster dissection speed (241.37 ± 156.84 vs. 68.56 ± 28.53 mm2/min; P = 0.042) and caused fewer intraprocedural bleeding events (0.40 ± 0.55 vs. 3.40 ± 1.95 times/per lesion; P = 0.016) than C-ESD. The thicknesses of the submucosal layer of the resected specimen (1190.98 ± 134.07 vs. 1055.90 ± 151.76 μm; P = 0.174) and the residual submucosal layer of the stomach defect (1607.94 ± 1026.74 vs. 985.98 ± 445.58 μm; P = 0.249) were similar with both procedures. The AIO snare is a safe and effective device for H-ESD and improves the treatment outcomes of gastric lesions by shortening the procedure time.

show abstract

Successful removal of a giant esophageal lipoma with hybrid endoscopic submucosal dissection

Abstract: Video Video 1 Endoscopic submucosal dissection of a giant esophageal lipoma.

Cited by 2 publications

References 8 publications

ALL-IN-ONE snare for hybrid endoscopic submucosal dissection versus conventional technology: A matched study in porcine model (with video)

ALL-IN-ONE snare for hybrid endoscopic submucosal dissection versus conventional technology: A matched study in porcine model (with video)

Safe and effective hybrid endoscopic submucosal dissection with ALL IN ONE snare in porcine gastric model (with video)

Contact Info

Product

Resources

About