Open AccessEndoscopic submucosal dissection of a rectal carcinoid tumor using grasping type scissors forceps
Author(s) -
Kazuya Akahoshi,
Yasuaki Motomura,
Masaru Kubokawa,
Noriaki Matsui,
Manami Oda,
Ryuichi Okamoto,
Satoshi Endo,
Naomi Higuchi,
Yumi Kashiwabara,
Masafumi Oya,
Hidefumi Akahane,
Haruo Akiba
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.2162
Subject(s) - medicine , submucosa , perforation , forceps , colonoscopy , surgery , lesion , endoscopic mucosal resection , endoscopic submucosal dissection , radiology , biopsy , endoscopy , colorectal cancer , cancer , metallurgy , materials science , punching
Endoscopic submucosal dissection (ESD) with a knife is a technically demanding procedure associated with a high complication rate. The shortcomings of this method are the inability to fix the knife to the target lesion, and compression of the lesion. These can lead to major complications such as perforation and bleeding. To reduce the risk of complications related to ESD, we developed a new grasping type scissors forceps (GSF), which can grasp and incise the targeted tissue using electrosurgical current. Colonoscopy on a 55-year-old woman revealed a 10-mm rectal submucosal nodule. The histological diagnosis of the specimen obtained by biopsy was carcinoid tumor. Endoscopic ultrasonography demonstrated a hypoechoic solid tumor limited to the submucosa without lymph node involvement. It was safely and accurately resected without unexpected incision by ESD using a GSF. No delayed hemorrhage or perforation occurred. Histological examination confirmed the carcinoid tumor was completely excised with negative resection margin.