Article
Gastroenterology & Hepatology
Sayoko Kinowaki, Yuichi Shimizu, Masayoshi Ono, Yang ZiJian, Ikko Tanaka, Yoshihiko Shimoda, Masaki Inoue, Marin Ishikawa, Keiko Yamamoto, Shoko Ono, Shunsuke Ohnishi, Naoya Sakamoto
Summary: The experimental results indicate that thermal damage in EBD persists until the completion of stenosis, requiring careful operation in the initial stage. The extension effect was only observed at the laceration site and later returned to a status similar to surrounding locations. Additional intervention is needed to prevent restenosis.
JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Medicine, General & Internal
Katarzyna Winter, Marcin Wlodarczyk, Jakub Wlodarczyk, Igor Dabrowski, Ewa Malecka-Wojciesko, Adam Dziki, Michal Spychalski
Summary: Colonic ESD has a high success rate, especially in the left colon, with a low risk of complications. Lesions in the right colon have a slightly lower success rate compared to the left colon.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Gastroenterology & Hepatology
Hiroshi Takayama, Takashi Toyonaga, Tetsuya Yoshizaki, Hirofumi Abe, Tatsuya Nakai, Chise Ueda, Satoshi Urakami, Hidetoshi Kaku, Yusaku Shimamoto, Kei Matsumoto, Kazunori Tsuda, Hiroya Sakaguchi, Koki Matsuoka, Shinichi Baba, Hiroshi Takihara, Nobuaki Ikezawa, Shinwa Tanaka, Madoka Takao, Toshitatsu Takao, Yoshinori Morita, Yuzo Kodama
Summary: This study aimed to investigate post-ESD management by evaluating the timing of stenosis and the effectiveness of endoscopic balloon dilation (EBD) after pyloric ESD. The stenosis-free probability in the risk group was found to decrease every week after the third week to the eighth week, and EBD was effective in improving pyloric stenosis without complications in all cases.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Gastroenterology & Hepatology
Bo Zhou, Zhe Zhao, Xing-Wei Wang, Ling Fan, Jian-Ru Zhu, Ying-Ying Yang, Pei-Ying Zou, Dong-Feng Chen, Xiao-Chun Shen, Chun-Hui Lan
Summary: The study identified tumor location and circumferential resection range as reliable risk factors for predicting the occurrence of esophageal strictures. A predictive flow chart was developed based on these factors to assess the risk of postoperative stricture.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Gastroenterology & Hepatology
Rui Ji, Jia-Lin Yang, Xiao-Xiao Yang, Shi-Chen Fu, Li-Xiang Li, Yan-Qing Li, Xiu-Li Zuo
Summary: This study compared the efficacy of FASTER-assisted endoscopic submucosal dissection (ESD) with traditional ESD. The results showed that FASTER-assisted ESD had shorter procedure time, higher direct-vision dissection rate, and lower muscular damage compared to conventional ESD.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Medicine, General & Internal
Rika Kobayashi, Ken Kawaura, Tohru Ito, Sadafumi Azukisawa, Hiroaki Kunou, Junji Kamai, Kazu Hamada, Tsuyoshi Mukai, Hidekazu Kitakata, Yasuhito Ishigaki
Summary: This study analyzed the risk factors for bleeding after endoscopic submucosal dissection (ESD) and compared their impact on active bleeding and risk of bleeding after resection. The results showed that larger ulcer sizes and the use of antithrombotic drugs were important factors contributing to bleeding. Additionally, the risk was lower for upper body lesions but higher for antral lesions.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Pietro Gambitta, Paola Fontana, Ilaria Fanetti, Giulia Veglia, Maurizio Vertemati, Antonio Armellino, Paolo Aseni
Summary: The prognosis of gastrointestinal neoplasms depends on the depth of tumor invasion and lymph node metastasis. Minimally invasive endoscopic therapy is suitable for neoplasms limited to mucosa and superficial submucosa, while surgical resection is required for deep invasion. Endoscopic ultrasonography is crucial for accurate staging and evaluation.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Dae-Gon Ryu, Su-Jin Kim, Cheol-Woong Choi, Su-Bum Park, Hyeong-Seok Nam, Si-Hak Lee, Sun-Hwi Hwang
Summary: Endoscopic submucosal dissection (ESD) is the preferred treatment for early gastric cancer (EGC) with low risk of lymph node metastasis. Predicting the risk of local recurrence after ESD is crucial for management and prevention. Factors associated with a higher risk of local recurrence include lesion size >= 15 mm, incomplete histologic resection, undifferentiated adenocarcinoma, scar, and the absence of erythema of the surface. Regular endoscopic surveillance is important to predict local recurrence, especially in patients with larger lesions, incomplete histologic resection, surface changes of scars, and no surface erythema.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Jingjing Lian, Yuan Chu, Tao Chen, Fang Li, Aiping Xu, Haibin Zhang, Meidong Xu
Summary: Our study demonstrates that the novel self-control stricture-preventing water balloon combined with oral prednisolone is an effective and safe strategy for preventing esophageal stricture after complete circumferential ESD.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Dermatology
Xiaoyun Liu, Xia Wu, Wenjun Fan
Summary: This study evaluated the effectiveness and safety of endoscopic submucosa dissection (ESD) compared with endoscopic mucosal resection (EMR) in treating early-stage stomach cancer. The meta-analysis results showed that there was no significant difference between EMR and ESD in terms of postoperative hemorrhage, but EMR had a lower rate of postoperative perforation.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Surgery
Jeong Ho Song, Sejin Lee, Sung Hyun Park, Anastasios Kottikias, Aleisa Abdulmohsen, Nasser Alrashidi, Minah Cho, Yoo Min Kim, Hyoung-Il Kim, Woo Jin Hyung
Summary: This study suggests that patients with early gastric cancer who meet the surgical indications can be treated with endoscopic submucosal dissection. The location of the tumor, as well as its size and histological features, are key factors in determining whether curative resection can be achieved with ESD.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Koichi Hamada, Yoshinori Horikawa, Yoshiki Shiwa, Kae Techigawara, Takayuki Nagahashi, Daizo Fukushima, Shinya Nishida, Ryota Koyanagi, Koichiro Kawano, Noriyuki Nishino, Michitaka Honda
Summary: ESD procedure time was significantly shorter and muscle layer damage occurred less frequently with the multibending endoscope. Multibending endoscopy is recommended for ESD in the upper and middle thirds of the stomach to reduce procedure time and complications.
Article
Oncology
Guangyong Chen, Rui Xu, Bing Yue, Mei Jia, Peng Li, Ming Ji, Shutian Zhang
Summary: The new method of light transmission-assisted pathological examination presented by the authors proved to be a practical bridge between endoscopic and pathological examinations for early gastric cancer. This method showed clear edges of neoplastic and non-neoplastic epithelia in a majority of cases, indicating its ease and precision in matching in vivo endoscopic observation and in vitro pathological examination.
FRONTIERS IN ONCOLOGY
(2021)
Article
Gastroenterology & Hepatology
Yoshito Hayashi, Waku Hatta, Yosuke Tsuji, Toshiyuki Yoshio, Yohei Yabuuchi, Shu Hoteya, Shigetsugu Tsuji, Yasuaki Nagami, Takuto Hikichi, Masakuni Kobayashi, Yoshinori Morita, Tetsuya Sumiyoshi, Mikitaka Iguchi, Hideomi Tomida, Takuya Inoue, Tatsuya Mikami, Kenkei Hasatani, Jun Nishikawa, Tomoaki Matsumura, Hiroko Nebiki, Dai Nakamatsu, Ken Ohnita, Haruhisa Suzuki, Hiroya Ueyama, Mitsushige Sugimoto, Shinjiro Yamaguchi, Tomoki Michida, Tomoyuki Yada, Yoshiro Asahina, Toshiaki Narasaka, Shiko Kuribayashi, Shu Kiyotoki, Katsuhiro Mabe, Akimitsu Miyake, Mitsuhiro Fujishiro, Atsushi Masamune, Tetsuo Takehara
Summary: Nonsevere gastric mucosal atrophy was identified as a risk factor for post-ESD bleeding in H. pylori-negative patients, but not in H. pylori-positive patients. In H. pylori-negative patients, the rate of post-ESD bleeding increased in a stepwise manner for patients continuing antithrombotic drug use, patients who withdrew antithrombotic drug use, and antithrombotic drug nonusers.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Oncology
Kidane Siele Embaye, Chao Zhang, Matiwos Araya Ghebrehiwet, Zhihao Wang, Fengdi Zhang, Liwei Liu, Shenghui Qin, Lingzhi Qin, Jun Wang, Xi Wang
Summary: Tumors located in the upper two third of the stomach, having a larger size (>2cm), poor histo-differentiation, and a gross type of 0-IIa/0-IIc or their mixed variants with predominant 0-IIa/0-IIc were significantly associated with a risk of NEC after ESD procedure.