Skip to main content
SpringerLink
Log in

Endoscopic Submucosal Tunnel Dissection

  • Chapter
  • First Online:
Therapeutics of Digestive Endoscopic Tunnel Technique

  • 196 Accesses

Abstract

Endoscopic submucosal tunnel dissection (ESTD) is one of the important techniques derived from DETT. Compared with conventional ESD, ESTD has the advantages of shorter operation time, more rapid dissection speed, as well as higher en bloc resection rate and lower rate of adverse events. ESTD was initially used in the esophagus and then applied on a wider scale for esophageal large mucosal lesions, in addition to its effectiveness in other parts of the gastrointestinal tract. This chapter introduces the standard operation of ESTD in different parts of gastrointestinal tract.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Linghu E. Digestive endoscopic tunnel technique therapeutics. Beijing: Beijing Publishing House; 2012.

    Google Scholar 

  2. Linghu E. Therapeutics of digestive endoscopic tunnel technique. Berlin: Springer; 2014.

    Book  Google Scholar 

  3. Chinese Society of Digestive Endoscopy, Branch of Endoscopy Physicians of Chinese Medical Association, Gastroendoscopy Branch of Beijing Medical Association, et al. Consensus on the digestive endoscopic tunnel technique (2017, Beijing). Chin J Dig Endosc. 2018;35(1):1–14.

    Google Scholar 

  4. Linghu E. Summary of the methods for removing periesophageal lesions by transoral esophageal tunnel technique. Chin J Laparosc Surg. 2011;4(5):340–1.

    Google Scholar 

  5. Linghu E, Li H, Huang Q, et al. The long circumferential lesions of esophagus were peeled off by tunnel technique. Chin Contin Educ Med. 2011;3(12):69–71.

    Google Scholar 

  6. Linghu E, Wang X, Meng J, et al. Experience of resection of large area esophageal lesions by transoral tunnel technique. Chin J Laparosc Surg. 2011;4(5):397–8.

    Google Scholar 

  7. Linghu E, Yang J, Zhang Y, et al. Feasibility study on removal of lesions above 2.5cm by via tunnel technique. Chin J Laparosc Surg. 2011;4(5):394–6.

    Google Scholar 

  8. Zhai Y, Li H, Linghu E. Endoscopic submucosal tunnel dissection for large superficial esophageal squamous cell neoplasms. World J Gastroenterol. 2016;22(1):435–45.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Consensus opinion of experts on screening and endoscopic diagnosis and treatment of early esophageal cancer in China (2014, Beijing). Chin J Gastroenterol. 2015;20(4):220–240.

    Google Scholar 

  10. Tsao SK, Toyonaga T, Morita Y, et al. Modified fishing-line traction system in endoscopic submucosal dissection of large esophageal tumors. Endoscopy. 2011;43(Suppl 2 UCTN):E119.

    Article  PubMed  Google Scholar 

  11. Matsumoto K, Nagahara A, Sakamoto N, et al. A new traction device for facilitating endoscopic submucosal dissection (ESD) for early gastric cancer: the “medical ring”. Endoscopy. 2011;43(Suppl 2 UCTN):E67–8.

    Article  PubMed  Google Scholar 

  12. Linghu E. Endoscopic resection of precancerous lesions and early carcinoma of digestive tract. Beijing: Electronic Audio and Video Publishing House of Chinese Medical Association; 2009.

    Google Scholar 

  13. Jing Z, Linghu E, Jin D. Experimental study on annular esophageal mucous membrane peeling by double tunnel technique in animals. Chin J Dig Endosc. 2014;31(4):219–20.

    Google Scholar 

  14. Zhai Y, Linghu E, Li H. Double-tunnel endoscopic submucosal tunnel dissection for circumferential superficial esophageal neoplasms. Endoscopy. 2014;46(Suppl 1 UCTN):E204–5.

    PubMed  Google Scholar 

  15. Gan T, Yang J, Zhu L, et al. Endoscopic submucosal multi-tunnel dissection for circumferential superficial esophageal neoplastic lesions (with videos). Gastrointest Endosc. 2016;84(1):143–6.

    Article  PubMed  Google Scholar 

  16. Zhang W, Zhai Y, Chai N, et al. Endoscopic submucosal tunnel dissection and endoscopic submucosal dissection for large superficial esophageal squamous cell neoplasm: efficacy and safety study to guide future practice. Surg Endosc. 2018;32(6):2814–21.

    Article  PubMed  Google Scholar 

  17. Huang R, Cai H, Zhao X, et al. Efficacy and safety of endoscopic submucosal tunnel dissection for superficial esophageal squamous cell carcinoma: a propensity score matching analysis. Gastrointest Endosc. 2017;86(5):831–8.

    Article  PubMed  Google Scholar 

  18. Gomercic C, Vanbiervliet G, Gonzalez JM, et al. Prospective randomized comparison of endoscopic submucosal tunnel dissection and conventional submucosal dissection in the resection of superficial esophageal/gastric lesions in a living porcine model. Endosc Int Open. 2015;3(6):E577–83.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Zhai Y, Linghu E, Li H, et al. Comparison of endoscopic submucosal tunnel dissection with endoscopic submucosal dissection for large esophageal superficial neoplasms. Nan Fang Yi Ke Da Xue Xue Bao. 2014;34(1):36–40.

    PubMed  Google Scholar 

  20. Zhang W, Zhai Y, Chai N, et al. Single- and double-tunnel endoscopic submucosal tunnel dissection for large superficial esophageal squamous cell neoplasms. Endoscopy. 2018;50(5):505–10.

    Article  CAS  PubMed  Google Scholar 

  21. Arantes V, Albuquerque W, Freitas Dias CA, et al. Standardized endoscopic submucosal tunnel dissection for management of early esophageal tumors (with video). Gastrointest Endosc. 2013;78(6):946–52.

    Article  PubMed  Google Scholar 

  22. Pioche M, Mais L, Guillaud O, et al. Endoscopic submucosal tunnel dissection for large esophageal neoplastic lesions. Endoscopy. 2013;45(12):1032–4.

    Article  PubMed  Google Scholar 

  23. Liang W, Xu L, Deng W, et al. Clinical study of endoscopic resection and endoscopic submucous stripping in the treatment of early esophageal cancer and precancerous lesions. J Fujian Med Univ. 2015;49(2):96–100.

    Google Scholar 

  24. Ye L, Zheng H, Mao X, et al. Complete circular endoscopic resection using submucosal tunnel technique combined with esophageal stent placement for circumferential superficial esophageal lesions. Surg Endosc. 2016;30(3):1078–85.

    Article  PubMed  Google Scholar 

  25. Chen L, Wang L, Gao S, et al. Clinical study of endoscopic stripping through submucous tunnel in the treatment of superficial esophageal tumors. Chin J Laparosc Surg. 2016;9(4):243–7.

    Google Scholar 

  26. Ono S, Fujishiro M, Niimi K, et al. Long-term outcomes of endoscopic submucosal dissection for superficial esophageal squamous cell neoplasms. Gastrointest Endosc. 2009;70(5):860–6.

    Article  PubMed  Google Scholar 

  27. Wen J, Lu Z, Yang Y, et al. Erratum to: preventing stricture formation by covered esophageal stent placement after endoscopic submucosal dissection for early esophageal Cancer. Dig Dis Sci. 2014;59(10):2607.

    Article  Google Scholar 

  28. Linghu E, Feng X, Wang X, et al. Report on the application of endoscopic tunnel submucous exudation in the resection of gastric mucosal lesions. Chin J Laparosc Surg. 2012;5:24–6.

    Google Scholar 

  29. Choi HS, Chun HJ, Seo MH, et al. Endoscopic submucosal tunnel dissection salvage technique for ulcerative early gastric cancer. World J Gastroenterol. 2014;20(27):9210–4.

    PubMed  PubMed Central  Google Scholar 

  30. Feng X, Linghu E, Chai N, et al. Endoscopic submucosal tunnel dissection for large gastric neoplastic lesions: a case-matched controlled study. Gastroenterol Res Pract. 2018;2018:1419369.

    PubMed  PubMed Central  Google Scholar 

  31. Ding X, Jiang H, Sun L, et al. Tunnel endoscopic submucous exudation in the treatment of lateral developmental tumors of rectum: a report of 2 cases. Chin J Dig Endosc. 2016;33(4):263–4.

    Google Scholar 

  32. Yang J, Gan T, Zhu L, et al. Endoscopic submucosal tunnel dissection: a feasible solution for large superficial rectal neoplastic lesions. Dis Colon Rectum. 2017;60(8):866–71.

    Article  PubMed  Google Scholar 

  33. Bassioukas SP, Katzakis C, Kitsios C, et al. Endoscopic submucosal dissection with double-tunnel technique for en bloc resection of large rectal laterally spreading tumor. Ann Gastroenterol. 2017;30(6):698.

    PubMed  PubMed Central  Google Scholar 

  34. Xiong Y, Chai N, Chen Q, et al. A new method for rapid and safe removal of giant lateral developmental polyps of colon-propulsive endoscopic submucous tunnel stripping. Chin J Gastrointest Endosc. 2016;3(2):83–4.

    Google Scholar 

  35. Hayashi Y, Sunada K, Takahashi H, et al. Pocket-creation method of endoscopic submucosal dissection to achieve en bloc resection of giant colorectal subpedunculated neoplastic lesions. Endoscopy. 2014;46(Suppl 1 UCTN):E421–2.

    PubMed  Google Scholar 

  36. Tan Y, Liu D, Huo J. Endoscopic submucosal dissection using a pocket-creation method: a modified technique of endoscopic submucosal tunnel dissection. Endoscopy. 2017;49(4):400.

    Article  PubMed  Google Scholar 

  37. Kanamori A, Nakano M, Kondo M, et al. Clinical effectiveness of the pocket-creation method for colorectal endoscopic submucosal dissection. Endosc Int Open. 2017;5(12):E1299–e1305.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Jin P, Sheng J, Li A, et al. Submucosal tunnel dissection through the pyloric ring for removal of a sessile duodenal adenoma adjacent to a scar. Endoscopy. 2013;45(Suppl 2 UCTN):E303–4.

    PubMed  Google Scholar 

  39. Miura Y, Shinozaki S, Hayashi Y, et al. Duodenal endoscopic submucosal dissection is feasible using the pocket-creation method. Endoscopy. 2017;49(1):8–14.

    PubMed  Google Scholar 

  40. Jacques J, Rivory J, Lepilliez V, et al. Tunnel and clip endoscopic submucosal dissection of a pharyngeal superficial squamous cell carcinoma detected with narrow-band imaging. Endoscopy. 2017;49(S 01):E48–e50.

    Article  PubMed  Google Scholar 

  41. Wang AY. Endoscopic submucosal tunnel dissection: the space between. Gastrointest Endosc. 2013;78(6):953–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, First Medical Center of Chinese PLA General Hospital, Beijing, China

    Yaqi Zhai, Ningli Chai & Enqiang Linghu

Authors
  1. Yaqi Zhai
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ningli Chai
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Enqiang Linghu
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Gastroenterology and Hepatology, First Medical Center of Chinese PLA General Hospital, Beijing, China

    Enqiang Linghu

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zhai, Y., Chai, N., Linghu, E. (2020). Endoscopic Submucosal Tunnel Dissection. In: Linghu, E. (eds) Therapeutics of Digestive Endoscopic Tunnel Technique. Springer, Singapore. https://doi.org/10.1007/978-981-15-1998-7_6

Download citation

  • DOI: https://doi.org/10.1007/978-981-15-1998-7_6

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0000-8

  • Online ISBN: 978-981-15-1998-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation