Year 2016 / Volume 108 / Number 5
Digestive Diseases Image
Successful balloon overtube-guided colorectal endoscopic submucosal dissection by a gastroscope

280-281

Enrique Pérez-Cuadrado Robles, Masayoshi Yamada, Yutaka Saito,

Abstract
Colorectal ESD can achieve en-bloc resection. However, cecum, hepatic and splenic flexures are difficult locations because of unstable scope maneuvers and narrow working space. In these cases, balloon overtube-guided ESD may confer a better approach, improving the access to the lesion and scope manoeuvres. This overtube has a large outer diameter and enables the use of a therapeutic gastroscope. The procedure can also facilitate traction-assisted techniques allowing a high-rate of en-bloc resections. In addition, large specimens can be easily retrieved through.
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References
[1] Saito Y, Uraoka T, Yamaguchi Y, et al. A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video). Gastrointest Endosc. 2010; 72:1217-25.
[2] Ohya T, Ohata K, Sumiyama K, et al. Balloon overtube-guided colorectal endoscopic submucosal dissection. World J Gastroenterol. 2009; 28; 15:6086-90.
[3] Okamoto K, Muguruma N, Kitamura S, et al. A new large-diameter overtube for endoscopic submucosal dissection in the colon. Endoscopy 2012; 44: E395-E396.
[4] Ikehara H, Saito Y, Uraoka T, et al. Specimen retrieval method using a sliding overtube for large colorectal neoplasm following endoscopic submucosal dissection. Endoscopy 2015; 47: E168–9.
[5] Okamoto K, Muguruma N, Kitamura S, et al. Endoscopic submucosal dissection for large colorectal tumors using a cross-counter technique and a novel large-diameter balloon overtube. Dig Endosc 2012; 24 (Suppl 1):96-9.
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Pérez-Cuadrado Robles E, Yamada M, Saito Y. Successful balloon overtube-guided colorectal endoscopic submucosal dissection by a gastroscope. 4107/2015


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Publication history

Received: 15/11/2015

Accepted: 08/12/2015

Published: 29/04/2016

Article editing time: 166 days


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