Usefulness of a novel electrosurgical knife, the insulation-tipped diathermic knife-2, for endoscopic submucosal dissection of early gastric cancer

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Novel strategy of endoscopic submucosal dissection using an insulation-tipped knife for early gastric cancer: near-side approach method

BACKGROUND AND STUDY AIMS Endoscopic submucosal dissection (ESD) using insulation-tipped knives (IT knives) to treat gastric lesions located on the greater curvature of the gastric body remains technically challenging because of the associated bleeding, control of which can be difficult and time consuming. To eliminate these difficulties, we developed a novel strategy which we have called the "...

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Endoscopic submucosal dissection using a novel irrigation hood-knife.

Endoscopic submucosal dissection tech− niques using an insulated−tip knife (IT knife) were introduced several years ago to allow en−bloc resection of early gastric cancers, since histological evaluations are essential in order to assess the risk of lymph−node metastasis [1, 2]. However, the technique requires special skills and involves a prolonged procedural time. We have therefore developed a...

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Endoscopic Submucosal Dissection for Early Gastric Cancer

The field of endoscopy has progressed markedly and become widespread in recent years, and the role of minimally invasive endoscopic treatment has become increasingly more important with the increase in the number of patients in whom gastric cancer is detected at an early stage. In addition, the characteristics of early gastric cancer, which can be curably treated by mucosal resection alone just...

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[Endoscopic submucosal dissection for early gastric cancer].

Endoscopic mucosal resection (EMR) has been accepted as a treatment of early gastric cancer (EGC). The number of EMR procedures for EGC has been increasing because a patient's quality of life after EMR is superior to that after surgical gastrectomy. In Japan, most EMR have been performed using the strip biopsy method; however, in some cases we experienced local recurrences when multiple fragmen...

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ژورنال

عنوان ژورنال: Gastric Cancer

سال: 2008

ISSN: 1436-3291,1436-3305

DOI: 10.1007/s10120-008-0452-0