Endoscopic submucosal dissection and tunneling procedures using a novel all-in-one bipolar device.

Autor: Nabi Z; Asian Institute of Gastroenterology - Medical Gastroenterology, Hyderabad, India., Chavan R; Asian Institute of Gastroenterology - Gastroenterology, Hyderabad, India., Ramchandani M; Asian Institute of Gastroenterology - Gastroenterology, Hyderabad, India., Tsiamoulos Z; St. Mark's Hospital - Gastroenterology, Harrow, UK., Basha J; PGIMER - Gastroenterology, Chandigarh, India., Goud R; Asian Institute of Gastroenterology - Gastroenterology, Hyderabad, India., Darisetty S; Asian Institute of Gastroenterology - Gastroenterology, Hyderabad, India.; Asian Institute of Gastroenterology - Anesthesia, Hyderabad, India., Reddy N; Asian Institute of Gastroenterology - Gastroenterology, Hyderabad, India.
Jazyk: angličtina
Zdroj: Endoscopy international open [Endosc Int Open] 2020 Oct; Vol. 8 (10), pp. E1302-E1307. Date of Electronic Publication: 2020 Sep 22.
DOI: 10.1055/a-1220-6562
Abstrakt: Background and study aims  Recent innovations in devices and techniques have revolutionized the field of endoscopic resection procedures. In this study, we evaluated the safety and feasibility of endoscopic submucosal dissection and tunneling procedures with a novel, multipurpose bipolar device. Patients and methods  Data from consecutive patients who underwent per-oral endoscopic myotomy (POEM), submucosal tunneling endoscopic resection (STER), and endoscopic submucosal dissection (ESD) using a novel bipolar device (December 2019 to February 2020) were analyzed retrospectively. Procedure duration, technical success, and adverse events (AEs) were recorded. Results  A total of 10 procedures were performed using the novel bipolar device during the study period. The procedures included POEM (n = 7), STER for esophageal sub-epithelial tumor (n = 1), ESD for rectal polyp (n = 1), and gastric neuroendocrine tumor (n = 1). POEM was successfully completed in all patients. In patients who underwent STER and ESD, en-bloc resection was achieved in all. Mean procedure time for submucosal tunneling procedures (POEM and STER) was 59.12 ± 31.12 minutes. The procedures were completed without the requirement for exchange of accessories in eight cases (80 %). There were no major AEs. Mild and moderate AEs occurred during POEM and included capno-peritoneum (n = 1), retroperitoneal CO 2 (n = 1), and empyema (n = 1). Conclusion  ESD and tunneling procedures can be safely performed without the need for exchange of accessories using a novel bipolar device. Randomized comparison with conventional knives isrequired to confirm the utility of this device.
Competing Interests: Competing interests Dr. Tsiamoulos is a consultant agreement for Creo Medical and has received educational grants from Norgine and loan equipment from Olympus and Pentax.
(The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze: MEDLINE
Externí odkaz: