The performance of a novel ball-tipped Flush knife for endoscopic submucosal dissection: a case-control study
| Autor: | Eisei Nishino, Yoshinori Morita, Takeshi Azuma, Masaru Yoshida, Hideto Inokuchi, W. Ono, Tsuyoshi Fujita, Atsuhiro Masuda, Mariko Man-I, Takashi Toyonaga, Hiromu Kutsumi, Tsuyoshi Sanuki |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Hepatology medicine.diagnostic_test business.industry Stomach Gastroenterology En bloc resection Endoscopic submucosal dissection Endoscopy Surgery surgical procedures operative medicine.anatomical_structure medicine Pharmacology (medical) Haemostatic forceps sense organs Needle knife business Dividing procedure R0 resection |
| Zdroj: | Alimentary Pharmacology & Therapeutics. 32:908-915 |
| ISSN: | 0269-2813 |
| DOI: | 10.1111/j.1365-2036.2010.04425.x |
| Popis: | Aliment Pharmacol Ther 2010; 32: 908–915 Summary Background Endoscopic submucosal dissection (ESD) using short needle knives is safe and effective, but bleeding is a problem due to low haemostatic capability. Aim To assess the performance of a novel ball-tipped needle knife (Flush knife-BT) for ESD with particular emphasis on haemostasis. Methods A case–control study to compare the performance for ESD of 30 pairs of consecutive early gastrointestinal lesions (oesophagus: 12, stomach: 32, colorectum: 16) with standard Flush knife (F) vs. Flush knife-BT (BT). Primary outcome was efficacy of intraprocedure haemostasis. Secondary outcomes included procedure time, procedure speed (dividing procedure time into the area of resected specimen), en bloc resection rate and recurrence rate. Results Median intraoperative bleeding points and bleeding points requiring haemostatic forceps were smaller in the BT group than in the F group (4 vs. 8, P |
| Databáze: | OpenAIRE |
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