神戸大学附属図書館デジタルアーカイブ
https://hdl.handle.net/20.500.14094/90008577

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メタデータID
90008577
アクセス権
open access
出版タイプ
Accepted Manuscript
タイトル
Endoscopic Submucosal Dissection Using EndoTrac, a Novel Traction Device
著者
Kaku, Hidetoshi ; Toyonaga, Takashi ; Tanaka, Shinwa ; Takihara, Hiroshi ; Baba, Shinichi ; Tsubouchi, Eiji ; Ikeda, Yoshio ; Orita, Hitoshi ; Nakamoto, Manabu ; Horikawa, Yohei ; Chiba, Hiroki ; Ban, Hiromitsu ; Furumoto, Youhei ; Morita, Ryushin ; Kodama, Yuzo
著者名
Kaku, Hidetoshi
著者ID
A1402
研究者ID
1000040464268
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=f8cfb3bffdae49c8520e17560c007669
著者名
Toyonaga, Takashi
豊永, 高史
トヨナガ, タカシ
所属機関名
医学部附属病院
著者ID
A0825
研究者ID
1000050579141
著者名
Tanaka, Shinwa
田中, 心和
タナカ, シンワ
所属機関名
医学部附属病院
著者名
Takihara, Hiroshi
著者名
Baba, Shinichi
著者名
Tsubouchi, Eiji
著者名
Ikeda, Yoshio
著者名
Orita, Hitoshi
著者名
Nakamoto, Manabu
著者名
Horikawa, Yohei
著者名
Chiba, Hiroki
著者名
Ban, Hiromitsu
著者名
Furumoto, Youhei
著者名
Morita, Ryushin
著者ID
A2301
研究者ID
1000080378687
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=464addb6eeafabbc520e17560c007669
著者名
Kodama, Yuzo
児玉, 裕三
コダマ, ユウゾウ
所属機関名
医学研究科
言語
English (英語)
収録物名
Digestion
巻(号)
102(5)
ページ
714-721
出版者
Karger
刊行日
2021-09
公開日
2022-10-01
抄録
Background: Endoscopic submucosal dissection (ESD) is recognized as a minimally invasive and curative treatment for superficial gastrointestinal (GI) cancers. However, ESD is still challenging and time-consuming with a high risk of adverse events such as bleeding and perforation. Various traction methods have been explored for maintaining good visualization of the submucosal layer during ESD. We developed a novel traction device (the EndoTrac) which can easily tie the thread and has the ability to change the towing direction. The aim of this study is to evaluate safety and feasibility of ESD using the EndoTrac for GI neoplasms. Patients and Methods: We retrospectively analyzed 44 patients (45 lesions) with esophageal, gastric, duodenal, and colorectal neoplasms who had undergone ESD using the EndoTrac device between June 2018 and May 2019. Primary outcome measures were preparation time, procedural success using the EndoTrac device, and ease of ability to change towing direction. Results: Mean preparation time was 2 (2-5) min in esophagus, 3 (1-5) min in stomach, 6 (5-9) min in duodenum, and 4 (2-8) min in colorectum. The procedural success rate was 100% (8/8) in esophagus, 100% (21/21) in stomach, 100% (4/4) in duodenum, and 100% (12/12) in colorectum. The rate of successful towing to both proximal and distal sides was 100% (8/8) in esophagus, 100% (21/21) in stomach, 0% (0/4) in duodenum, and 100% (12/12) in colorectum. Conclusions: Use of the EndoTrac device appears to be a feasible approach to ESD for GI neoplasms.
キーワード
Endoscopic submucosal dissection
Gastrointestinal cancers
Minimally invasive
Device
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© 2020 S. Karger AG, Basel. This is the peer-reviewed but unedited manuscript version of the following article: [Digestion 2021;102:714-721. doi: 10.1159/000511731]. The final, published version is available at http://www.karger.com/10.1159/000511731
関連情報
DOI
https://doi.org/10.1159/000511731