Abstract
Background
Endoscopic submucosal dissection (ESD) is becoming widely regarded as a highly complicated but useful treatment for superficial esophageal neoplasms. However, the technique tends to be associated with adverse events. To evaluate the safety and utility of two-point fixed ESD for superficial esophageal neoplasms, and to discuss future directions.
Methods
Between December 2006 and December 2013, we performed two types of ESD procedures, the two-point fixed ESD that uses continuous countertraction to ensure a sufficient operative field was performed in 107 patients and conventional ESD was performed in 80 patients. Short-term outcomes and adverse events were evaluated. This study was retrospective study from a single institution.
Results
Significant differences were observed between conventional ESD and the two-point fixed ESD with regard to the operation time, tumor positive and unknown vertical margins of the resected specimen, perforation as an adverse event, mediastinal emphysema, and postoperative stenosis.
Conclusion
The two-point fixed ESD is a very useful method compared with the conventional procedure.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Motohashi O, Takagi S, Yonemitsu K, et al. Test production and utility of an ESD assistive device (transparent hood with mucosa gripping channel attached) (for animal studies and clinical use). Gastroenterol Endosc. 2006;48:2518–25 (Japanese with English abstract).
Motohashi O, Nishimura K, Nakayama N, et al. Endoscopic submucosal dissection (two-point fixed ESD) for early esophageal cancer. Dig Endosc. 2009;21:176–9.
Motohashi O. Two-point fixed endoscopic submucosal dissection in rectal tumor (with video). Gastrointest Endosc. 2011;74:1132–6.
Higuchi K, Tanabe S, Azuma M, et al. A phase II study of endoscopic submucosal dissection for superficial esophageal neoplasms (KDOG0901). Gastrointest Endosc. 2013;78:704–10.
Fujishiro M, Yahagi N, Kakushima N, et al. Endoscopic submucosal dissection of esophageal squamous cell neoplasms. Clin Gastroenterol Hepatol. 2006;4:688–94.
Motohashi O, Takagi S, Nakayama N, et al. Utility of an ESD procedure of esophagus using assistive device (transparent hood with mucosa gripping channel attached) (An examination of animal studies). Gastroenterol Endosc. 2007;49:2819–24 (Japanese with English abstract).
Imaeda H, Iwao Y, Ogata H, et al. A new technique for endoscopic submucosal dissection for early gastric cancer using an external grasping forceps. Endoscopy. 2006;38:1007–10.
Gotoda T, Oda I, Tamakawa K, et al. Prospective clinical trial of magnetic-anchor-guided endoscopic submucosal dissection for large early gastric cancer (with videos). Gastrointest Endosc. 2009;69:10–5.
Morita Y, Masuda M, Tanaka S, et al. A new approach to treating difficult cases of early gastric cancer: development of a double scope-ESD using transnasal endoscope with a “Split Barrel”. Endoscopia Digestiva. 2010;22:846–51 (Japanese with English abstract).
Oyama T. Esophageal ESD. Gastrointest Endosc Clin N Am. 2014;24:201–12.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Statement
This article does not contain any studies with human or animal subjects performed by any of the authors.
Conflict of interest
The authors have no conflict of interest.
Rights and permissions
About this article
Cite this article
Motohashi, O., Nishimura, K., Nakayama, N. et al. Usefulness of two-point fixed endoscopic submucosal dissection for superficial esophageal neoplasms. Esophagus 13, 182–186 (2016). https://doi.org/10.1007/s10388-015-0513-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10388-015-0513-5