Endoscopic Mucosal Resection in the Stomach Using the Insulated-Tip Needle-Knife

Muto, M.; Miyamoto, Sachi; Hosokawa, Ayumu; Doi, Takehiko; Ohtsu, Atsushi; Yoshida, Shigeto; Endo, Yuichi; Hosokawa, Koichi; Saito, Daizo; Cs, Shim; Goßner, Liebwin

doi:10.1055/s-2004-826194

Cited by 67 publications

(41 citation statements)

References 9 publications

(10 reference statements)

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“…The established indications for endoscopic resection of early gastric carcinoma are as follows: 1) differentiated carcinoma (i.e. intestinal-type carcinoma), 2) size 2 cm or less, 3) restricted to the mucosa, and 4) absence of ulceration, where there is no possibility of lymph node metastasis (11)(12)(13)(14). If the gastric carcinoma fulfills all of these criteria, endoscopic resection is the therapy of choice for early gastric carcinoma because this modality maintains a good quality of life and has a favorable survival rate that is comparable with surgical resection (12,13).…”

Section: Discussionmentioning

confidence: 99%

Analysis of Endoscopic Electronic Image of Intramucosal Gastric Carcinoma Using a Software Program for Calculating Hemoglobin Index

Kim¹,

Kim²,

Lim³

et al. 2007

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 99%

Analysis of Endoscopic Electronic Image of Intramucosal Gastric Carcinoma Using a Software Program for Calculating Hemoglobin Index

Kim¹,

Kim²,

Lim³

et al. 2007

Gastrointestinal Endoscopy

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“…The limitation of EMR has been recovered by endoscopic submucosal dissection (ESD). ESD has been applied to early gastric cancers more commonly than have other conventional EMR techniques in Japan because en bloc resection with tumor-free margins by ESD is relatively easily performed and is associated with precise histologic diagnosis and a reduced recurrence rate [8,9,10,11]. …”

Section: Introductionmentioning

confidence: 99%

Perforation and Postoperative Bleeding of Endoscopic Submucosal Dissection in Gastric Tumors: Analysis of 1,190 Lesions in Low- and High-Volume Centers in Saga, Japan

et al. 2012

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Background: This retrospective study aimed to determine risk factors associated with serious complications of endoscopic submucosal dissection of gastric tumors in multicenters compared between high- and low-volume centers. Methods: Between 2001 and 2010, gastric endoscopic submucosal dissection was performed in 1,190 lesions of 1,082 patients in five hospitals in Saga, three high-volume and two low-volume centers. Risk factors for serious complications were evaluated. Patients’ background characteristics were evaluated, including anticoagulants use and underlying diseases. Results: Postoperative bleeding was detected in 75 patients (6.9%), and perforation was detected in 40 patients (3.7%). Most postoperative bleeding and perforation cases were recovered with endoscopic procedures, although one case of each complication was treated by emergency surgery. Multivariate analysis indicated that risk factors for perforation were tumor location, massive submucusal invasion, endoscopists’ experience of 100–149 cases and hypertension, and that risk factors for postoperative bleeding were tumor location, resected tumor size, and scar lesion. The serious complications were not different between high- and low-volume centers. Conclusions: The present study indicated that risk factors for perforation during endoscopic submucosal dissection were tumor, endoscopist and patient related, although risk factors for postoperative bleeding were tumor related. There was no difference in complications between high- and low-volume centers.

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“…ESD can provide precise histological diagnosis and can also reduce the www.intechopen.com recurrence rate (Muto et al 2005). The drawback of ESD lies in the technical difficulty, and this technique is therefore associated with a high rate of complications, the need for advanced endoscopic techniques, and a lengthy procedure time (Oka et al 2006, Ono et al 2001).…”

Section: Esdmentioning

confidence: 99%

EMR and ESD for Gastrointestinal Neoplasms

Kume¹

2011

New Techniques in Gastrointestinal Endoscopy

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Endoscopic Mucosal Resection in the Stomach Using the Insulated-Tip Needle-Knife

Cited by 67 publications

References 9 publications

Analysis of Endoscopic Electronic Image of Intramucosal Gastric Carcinoma Using a Software Program for Calculating Hemoglobin Index

Analysis of Endoscopic Electronic Image of Intramucosal Gastric Carcinoma Using a Software Program for Calculating Hemoglobin Index

Perforation and Postoperative Bleeding of Endoscopic Submucosal Dissection in Gastric Tumors: Analysis of 1,190 Lesions in Low- and High-Volume Centers in Saga, Japan

EMR and ESD for Gastrointestinal Neoplasms

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