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Handmade outer flushing channel for safe endoscopic submucosal dissection
Author(s) -
Hirasawa Dai,
Fujita Naotaka,
Ishida Kazuhiko,
Matsunaga Atsuo,
Senoo Shigeharu,
Yonechi Makoto,
Suzuki Takashi,
Sugawara Toshiki
Publication year - 2005
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.1443-1661.2005.00491.x
Subject(s) - medicine , endoscopic submucosal dissection , dissection (medical) , surgery , flushing , hemostasis , endocrinology
Endoscopic submucosal dissection (ESD) is rapidly becoming widespread as an excellent method for the treatment of intramucosal tumors, especially the superficially spreading type, of the digestive tract. In contrast, of great concern are the complications that may arise when the procedure is prolonged due to such factors as bleeding during mucosal cutting and submucosal dissection. To realize safe performance of ESD, we have developed and have been using a handmade outer channel for flushing with excellent results. Mounting the outer channel for flushing provides an effective flushing function without costly investment and contributes to maintaining a clear endoscopic view during the procedure. This device enables some extended indications for endoscopic procedures, including hemostasis of hemorrhagic peptic ulcers and rupture of esophagogastric varices.