Open AccessDouble Endoscopic Intraluminal Operation for Upper Digestive Tract Diseases
Author(s) -
Hiroyuki Kuwano,
Erito Mochiki,
Takayuki Asao,
Hiroyuki Kato,
Tatsuo Shimura,
Souichi Tsutsumi
Publication year - 2004
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/01.sla.0000103381.32956.7c
Subject(s) - medicine , submucosa , esophagus , endoscopic mucosal resection , biopsy , stomach , lesion , endoscopy , resection margin , target lesion , radiology , surgery , resection , gastroenterology , percutaneous coronary intervention , myocardial infarction
Endoscopic treatment of digestive tract diseases, such as early esophageal and gastric neoplasia, has become increasingly popular in recent years as an alternative to surgical procedures in the hope of providing an improved quality of life for these patients. However, one of the limitations of a conventional endoscopic mucosal resection, such as an aspiration mucosectomy and a strip biopsy, has been the size of the lesions to be resected. Both an aspiration mucosectomy and strip biopsy are useful variants for removing flat lesions measuring less than 20 mm in maximal diameter. To overcome such limitations, we devised a double endoscopic intraluminal operation (DEILO), which enables us to resect mucosal lesions by using 2 fine endoscopes and monopolar shears.