Premium
IS IT DIFFICULT FOR ENDOSCOPISTS WHO HAVE DONE CONVENTIONAL ENDOSCOPIC MUCOSAL RESECTION TO PERFORM SUBMUCOSAL DISSECTION?
Author(s) -
Yagi Kazuyoshi,
Nakamura Atsuo,
Sekine Atsuo
Publication year - 2004
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2004.00372.x
Subject(s) - medicine , endoscopic submucosal dissection , perforation , endoscopic mucosal resection , resection , surgery , complication , dissection (medical) , endoscopy , general surgery , materials science , punching , metallurgy
Submucosal resection is a very useful method of endoscopic mucosal resection (EMR) for en bloc resection. We began using this method in March 2003 and have resected lesions in 16 patients with gastric cancer. We describe the procedure times and complications associated with submucosal resection from a beginner's point of view. Our first five patients experienced bleeding and perforation. With the aid of a range of instruments and the advice of expert endoscopists, our complication rate became very low and the procedure time much shorter. Endoscopists who seek to perform submucosal dissections easily and safely should avail themselves of training and education from experts in the method. A program for training endoscopists in submucosal dissection is essential.