Efficacy of forced coagulation with low high-frequency power setting during endoscopic submucosal dissection
| Autor: | Yasuaki Kitamura, Takashi Toyonaga, Shinichi Baba, Tsukasa Ishida, Yoshinori Morita, Hiroshi Takihara, Shinwa Tanaka, Fumiaki Kawara, Namiko Hoshi, Ryusuke Ariyoshi, Yoshiko Ohara, Takeshi Azuma, Eiji Umegaki, Tadao Nakashige, Tetsuya Yoshizaki |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Electrosurgery Endoscopic Mucosal Resection Swine medicine.medical_treatment Blood Loss Surgical Observational Study Hemostatic effect 03 medical and health sciences 0302 clinical medicine Gastroscopy The forced coagulation mode medicine Animals Humans Coagulation (water treatment) Power setting Blood Coagulation Electrodes Aged Retrospective Studies Aged 80 and over High frequency power business.industry Gastroenterology General Medicine Endoscopic submucosal dissection Middle Aged Hemostasis Surgical Surgery Treatment Outcome Gastric Mucosa 030220 oncology & carcinogenesis Models Animal Female 030211 gastroenterology & hepatology business Endoknife |
| Zdroj: | World Journal of Gastroenterology |
| ISSN: | 1007-9327 |
| Popis: | AIM To investigated the hemostatic ability of the S and F1-10 methods in clinical and ex vivo studies. METHODS The hemostatic abilities of the two methods were analyzed retrospectively in all six gastric endoscopic submucosal dissection cases. The treated vessel diameter, compressed vessel frequency, and bleeding frequency after cutting the vessels were noted by the recorded videos. The coagulation mechanism of the two power settings was evaluated using the data recording program and histological examination on macro- and microscopic levels in the ex vivo experiments using porcine tissues. RESULTS F1-10 method showed a significantly better hemostatic ability for vessels ≥ 2 mm in diameter and a trend of overall better coagulation effect, evaluated by the bleeding rate after cutting the vessels. F1-10 method could sustain electrical current longer and effectively coagulate the tissue wider and deeper than the S method in the porcine model. CONCLUSION F1-10 method is suggested to achieve a stronger hemostatic effect than the S method in clinical procedures and ex vivo models. |
| Databáze: | OpenAIRE |
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