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New Endoscopic Treatment for Intramucosal Gastric Tumors Using an Insulated-Tip Diathermic Knife
Abstract
BACKGROUND AND STUDY AIMS: For one-piece resection the conventional technique of endoscopic mucosal resection (EMR) is limited to gastric mucosal tumors of 10 mm or less in size. In this retrospective study, we investigated the efficacy and complications associated with a new EMR method, using an insulated-tip diathermic knife (IT-EMR). PATIENTS AND METHODS: In a total of 41 patients gastric mucosal tumors were resected using IT-EMR. RESULTS: One-piece resection rates were 82% (14/17) for lesions of 10 mm or less, 75% (12/16) for those between 11 and 20 mm, and 14% (1/7) for those of over 20 mm. Complication rates for severe bleeding and perforation were 22% and 5%, respectively. With a median follow-up period of 32 months, no recurrence was observed after these procedures. CONCLUSIONS: Compared with conventional EMR, this new method may have significant benefits, particularly regarding one-piece resection of lesions between 11 and 20 mm in size, and may also have a lower recurrence rate.
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Cited by
Saito, Y., Uraoka, T., Matsuda, T., Emura, F., Ikehara, H., Mashimo, Y., Kikuchi, T., Fu, K.-I., Sano, Y., & Saito, D. (2007) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2007.02.053 · Cited by 373
Endoscopic treatment of high-grade dysplasia and early stage cancer in Barrett's esophagus
Peters, F. P., Kara, M. A., Rosmolen, W. D., Aalders, M. C. G., ten Kate, F. J. W., Bultje, B. C., Krishnadath, K. K., Fockens, P., van Lanschot, J. J. B., van Deventer, S. J. H., et al. (2005) · Gastrointestinal Endoscopy · doi:10.1016/s0016-5107(05)00063-5 · Cited by 172
Metadata
- Authors
- Ohkuwa, M., Hosokawa, K., Boku, N., Ohtu, A., Tajiri, H., & Yoshida, S.
- Venue
- Endoscopy
- Publisher
- Georg Thieme Verlag KG
- Published
- 2001-03
- Volume
- 33
- Issue
- 3
- Pages
- 221-226
- ISSN
- 0013-726X (ISSN-L)
- 1438-8812
- OpenAlex
- W2023271847
- Cited by
- 400
- References
- 0
- FWCI
- 9.38
- Type
- journal article
- Language
- en
- Open access
- closed
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- Ohkuwa, M., Hosokawa, K., Boku, N., Ohtu, A., Tajiri, H., & Yoshida, S. (2001). New Endoscopic Treatment for Intramucosal Gastric Tumors Using an Insulated-Tip Diathermic Knife. Endoscopy. https://doi.org/10.1055/s-2001-12805
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