Newly designed soft prelooped cap for endoscopic mucosal resection of gastric lesions

被引：38

作者：

Matsuzaki, K ^{[1
]}

Nagao, S ^{[1
]}

Kawaguchi, A ^{[1
]}

Miyazaki, J ^{[1
]}

Yoshida, Y ^{[1
]}

Kitagawa, Y ^{[1
]}

Nakajima, H ^{[1
]}

Kato, S ^{[1
]}

Hokari, R ^{[1
]}

Tsuzuki, Y ^{[1
]}

Itoh, K ^{[1
]}

Niwa, H ^{[1
]}

Miura, S ^{[1
]}

机构：

[1] Natl Def Med Coll, Dept Internal Med 2, Tokorozawa, Saitama 3598513, Japan

来源：

GASTROINTESTINAL ENDOSCOPY | 2003年 / 57卷 / 02期

关键词：

D O I：

10.1067/mge.2003.80

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: Endoscopic mucosal resection with a cap-fitted panendoscope is a useful, effective, and safe technique. The effectiveness and safety of a newly designed larger but softer cap was compared in this study with the conventional hard cap. The soft cap has a significantly larger diameter (18 mm) compared with that of the hard cap (16.5 mm). Methods: Eighty-three patients who underwent mucosal resection of gastric lesions were included in analysis. The diameter, resection specimen depth, and the rate of en bloc resection were compared. The operability of the endoscope with the cap attached, patient tolerance, and safety of the procedure were analyzed. Results: Mean diameter (+/- SEM) of specimens resected with the soft cap was larger: 22.1 (+/- 0.7) versus 15.8 (+/- 0.3) mm (p < 0.001). The specimen was also thicker: 1.54 (+/- 0.10) versus 1.08 (+/- 0.11) mm (p < 0.001). Use of the soft cap led to higher rate of en bloc resection: 66.7% versus 43.2% (p < 0.05). The operability of the endoscope with the larger, softer cap attached was similar to that when the hard cap was used. Both caps were equally safe. Conclusion: The soft cap is safe and useful for mucosal resection of larger gastric lesions. Its use increases the rate of en bloc resection.

引用

页码：242 / 246

页数：5

共 18 条

[1]

*AB CONC, 1995, STAT VIEW COMP PROGR

[2]

CHONAN A, 1998, DIGEST ENDOSC, V10, P31

[3] A new endoscopic mucosal resection procedure using an insulation-tipped electrosurgical knife for rectal flat lesions: report of two cases [J].

Gotoda, T ;

Kondo, H ;

Ono, H ;

Saito, Y ;

Yamaguchi, H ;

Saito, D ;

Yokota, T .

GASTROINTESTINAL ENDOSCOPY, 1999, 50 (04) :560-563

[4] ENDOSCOPIC RESECTION OF EARLY GASTRIC-CANCER AND OTHER TUMORS WITH LOCAL INJECTION OF HYPERTONIC SALINE-EPINEPHRINE [J].

HIRAO, M ;

MASUDA, K ;

ASANUMA, T ;

NAKA, H ;

NODA, K ;

MATSUURA, K ;

YAMAGUCHI, O ;

UEDA, N .

GASTROINTESTINAL ENDOSCOPY, 1988, 34 (03) :264-269

[5] ENDOSCOPIC MUCOSECTOMY FOR EARLY CANCER USING A PRE-LOOPED PLASTIC CAP [J].

INOUE, H ;

NOGUCHI, O ;

SAITO, N ;

TAKESHITA, K ;

ENDO, M .

GASTROINTESTINAL ENDOSCOPY, 1994, 40 (02) :263-264

[6] ENDOSCOPIC MUCOSAL RESECTION WITH A CAP-FITTED PANENDOSCOPE FOR ESOPHAGUS, STOMACH, AND COLON MUCOSAL LESIONS [J].

INOUE, H ;

TAKESHITA, K ;

HORI, H ;

MURAOKA, Y ;

YONESHIMA, H ;

ENDO, M .

GASTROINTESTINAL ENDOSCOPY, 1993, 39 (01) :58-62

[7]

IWASHITA A, 1991, Stomach and Intestine (Tokyo), V26, P265

[8]

*JAP SOC GASTR CAN, 1995, JAP CLASS GASTR CARC

[9]

*NIH, 1999, NIH IM COMP PROGR VE

[10] LYMPH-NODE METASTASIS FROM EARLY GASTRIC-CANCER - ENDOSCOPIC RESECTION OF TUMOR [J].

SANO, T ;

KOBORI, O ;

MUTO, T .

BRITISH JOURNAL OF SURGERY, 1992, 79 (03) :241-244

← 1 2 →