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Neue Instrumente für die endoskopische Submukosadissektion

New instruments for endoscopic submucosal dissection

  • Neue Techniken
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Der Gastroenterologe Aims and scope

Zusammenfassung

Die endoskopische Submukosadissektion (ESD) hat sich für die En-bloc-Resektion von Frühkarzinomen oder Schleimhautrisikoläsionen über 2 cm Größe auch in der westlichen Welt in den letzten Jahren etablieren können. Aus onkologischer Sicht bietet die ESD deutliche Vorteile gegenüber der sog. Piecemeal-Resektion oder Ablation. Wir stellen hier neue technische Entwicklungen vor, wie die flüssigkeitsgestützte Resektion („FlushKnife“, „HybridKnife“), neue Resektions- und Dissektionsinstrumente, Unterspritzungssubstanzen oder Hilfsinstrumente (neue Distalkappen, Endolifter etc.). All dies bietet ein umfangreiches technisches Potenzial für die Zukunft.

Abstract

Endoscopic submucosal dissection (ESD) has established itself in the western world for the en bloc resection of early GI-cancers and mucosal lesions with increased malignant potential over 2 cm. There are clear oncological advantages over piecemeal resection or even ablation. Numerous current technical innovations have the potential for a breakthrough such as new submucosal injection substances, fluid pillowed ESD (“FlushKnife”, “HybridKnife”) and new resection and dissection instruments have recently been presented. Furthermore new ancillary instruments (modified distal caps, endolifter etc) represent a high technical potential for ESD in the future.

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Danksagung

Die Autoren danken den Firmen ERBE Elektromedizin GmbH, Tübingen, Fujinon Europe/Fujifilm, Düsseldorf, Karl Storz, Tuttlingen, Olympus Optical, Hamburg, Ovesco, Tübingen, Pentax, Hamburg, für die freundliche Unterstützung.

Interessenskonflikt

Der korrespondierende Autor weist auf folgende Beziehungen hin: In der Vergangenheit sachgebundene Forschungsunterstützung der Firmen ERBE, Tübingen, und Fujifilm, Düsseldorf. AR-Mitglied der Fa. Ovesco, Tübingen. Bei den übrigen Autoren bestehen keine Interessenskonflikte.

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Authors and Affiliations

  1. Medizinische Klinik III, St. Bernward Krankenhaus, Akad. Lehrkrankenhaus der Universität Göttingen, Treibestr. 9, 31134, Hildesheim, Deutschland

    J. Hochberger, E. Kruse & E. Wedi

  2. Institut für Nutztiergenetik, Friedrich-Loeffler-Institut, Bundesforschungsinstitut für Tiergesundheit, Mariensee, Deutschland

    P. Köhler

Authors
  1. J. Hochberger
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  2. E. Kruse
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  3. E. Wedi
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  4. P. Köhler
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Corresponding author

Correspondence to J. Hochberger.

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Hochberger, J., Kruse, E., Wedi, E. et al. Neue Instrumente für die endoskopische Submukosadissektion. Gastroenterologe 6, 418–426 (2011). https://doi.org/10.1007/s11377-011-0584-3

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  • DOI: https://doi.org/10.1007/s11377-011-0584-3

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