Procedure Time for Gastric Endoscopic Submucosal Dissection according to Location, considering Both Mucosal Circumferential Incision and Submucosal Dissection
Joint Authors
Asaoka, Daisuke
Yao, Takashi
Matsumoto, Kohei
Akazawa, Yoichi
Nakagawa, Yuta
Takeda, Tsutomu
Konuma, Hironori
Komori, Hiroyuki
Ueyama, Misuzu
Morimoto, Takashi
Miyazaki, Akihisa
Ueyama, Hiroya
Hojo, Mariko
Nagahara, Akihito
Matsumoto, Kenshi
Watanabe, Sumio
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-19
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Previous assessments of technical difficulty and procedure time for endoscopic submucosal dissection (ESD) of gastric neoplasms did not take into account several critical determinants of these parameters.
However, two key phases of ESD determine the total procedure time: the mucosal circumference incision speed (CIS) and submucosal dissection speed (SDS).
Methods.
We included 302 cases of en bloc and R0 resection of gastric neoplasms performed by 10 operators who had completed the training program at our hospital.
Twelve locations were classified based on multiple criteria, such as condition of surrounding mucosa, lesion vascularity, presence of submucosal fat, ulcers, scars, fibrosis, and scope and device maneuverability.
Lesions in different locations were classified into three groups based on the length of the procedure: fast, moderate, or late.
Results.
A significant difference was found in CIS and SDS for each location (p<0.01), which demonstrates the validity of this classification system.
In several locations, CIS and SDS were not consistent with each other.
Conclusion.
CIS and SDS did not correspond to each other even for lesions in the same location.
Consideration of ESD procedure time for gastric neoplasms requires a more elaborate classification system than that previously reported.
American Psychological Association (APA)
Konuma, Hironori& Matsumoto, Kenshi& Ueyama, Hiroya& Komori, Hiroyuki& Akazawa, Yoichi& Ueyama, Misuzu…[et al.]. 2016. Procedure Time for Gastric Endoscopic Submucosal Dissection according to Location, considering Both Mucosal Circumferential Incision and Submucosal Dissection. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1104828
Modern Language Association (MLA)
Konuma, Hironori…[et al.]. Procedure Time for Gastric Endoscopic Submucosal Dissection according to Location, considering Both Mucosal Circumferential Incision and Submucosal Dissection. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-11.
https://search.emarefa.net/detail/BIM-1104828
American Medical Association (AMA)
Konuma, Hironori& Matsumoto, Kenshi& Ueyama, Hiroya& Komori, Hiroyuki& Akazawa, Yoichi& Ueyama, Misuzu…[et al.]. Procedure Time for Gastric Endoscopic Submucosal Dissection according to Location, considering Both Mucosal Circumferential Incision and Submucosal Dissection. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1104828
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104828