Feasibility of Simple Traction Technique for Rectal Endoscopic Submucosal Dissection

Yasushi Yamasaki; Yoji Takeuchi; Noriya Uedo; Minoru Kato; Kenta Hamada; Yusuke Tonai; Noriko Matsuura; Takashi Kanesaka; Tomofumi Akasaka; Noboru Hanaoka; Koji Higashino; Ryu Ishihara; Hiroyasu Iishi

doi:10.1007/s10620-016-4036-2

Feasibility of Simple Traction Technique for Rectal Endoscopic Submucosal Dissection

Yasushi Yamasaki, Yoji Takeuchi, Noriya Uedo, Minoru Kato, Kenta Hamada, Yusuke Tonai, Noriko Matsuura, Takashi Kanesaka, Tomofumi Akasaka, Noboru Hanaoka, Koji Higashino, Ryu Ishihara, Hiroyasu Iishi

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: Rectal endoscopic submucosal dissection (ESD) is a highly effective procedure that achieves high en bloc resection regardless of lesion size or location. However, rectal ESD has a higher risk of intraoperative and postoperative bleeding and still difficult for beginners. Therefore, we designed a novel traction technique "traction-assisted rectal ESD using a clip-with-line (TAREC)," and investigated its feasibility.

METHODS: Between December 2014 and July 2015, ten patients with rectal neoplasms (median size 36 mm; range 20-125 mm) were treated using the TAREC technique.

RESULTS: In all lesions, good visibility of the submucosal layer was obtained, and the submucosal layer was dissected easily under direct visualization. All lesions were removed en bloc, and there were no procedure-related adverse events including postoperative bleeding. In particular, we experienced no intraoperative bleeding, which may be difficult to stop in some circumstances.

CONCLUSIONS: The TAREC technique is a simple and generally applicable procedure. This technique is feasible for rectal ESD.

Original language	English
Pages (from-to)	2127-31
Number of pages	5
Journal	Digestive Diseases and Sciences
Volume	61
Issue number	7
DOIs	https://doi.org/10.1007/s10620-016-4036-2
Publication status	Published - Jul 2016
Externally published	Yes

Keywords

Aged
Aged, 80 and over
Colonoscopy/methods
Dissection/methods
Female
Humans
Intestinal Mucosa/surgery
Male
Middle Aged
Rectal Neoplasms/surgery
Transanal Endoscopic Surgery/instrumentation
Treatment Outcome

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title = "Feasibility of Simple Traction Technique for Rectal Endoscopic Submucosal Dissection",

abstract = "BACKGROUND AND AIMS: Rectal endoscopic submucosal dissection (ESD) is a highly effective procedure that achieves high en bloc resection regardless of lesion size or location. However, rectal ESD has a higher risk of intraoperative and postoperative bleeding and still difficult for beginners. Therefore, we designed a novel traction technique {"}traction-assisted rectal ESD using a clip-with-line (TAREC),{"} and investigated its feasibility.METHODS: Between December 2014 and July 2015, ten patients with rectal neoplasms (median size 36 mm; range 20-125 mm) were treated using the TAREC technique.RESULTS: In all lesions, good visibility of the submucosal layer was obtained, and the submucosal layer was dissected easily under direct visualization. All lesions were removed en bloc, and there were no procedure-related adverse events including postoperative bleeding. In particular, we experienced no intraoperative bleeding, which may be difficult to stop in some circumstances.CONCLUSIONS: The TAREC technique is a simple and generally applicable procedure. This technique is feasible for rectal ESD.",

keywords = "Aged, Aged, 80 and over, Colonoscopy/methods, Dissection/methods, Female, Humans, Intestinal Mucosa/surgery, Male, Middle Aged, Rectal Neoplasms/surgery, Transanal Endoscopic Surgery/instrumentation, Treatment Outcome",

author = "Yasushi Yamasaki and Yoji Takeuchi and Noriya Uedo and Minoru Kato and Kenta Hamada and Yusuke Tonai and Noriko Matsuura and Takashi Kanesaka and Tomofumi Akasaka and Noboru Hanaoka and Koji Higashino and Ryu Ishihara and Hiroyasu Iishi",

year = "2016",

month = jul,

doi = "10.1007/s10620-016-4036-2",

language = "English",

volume = "61",

pages = "2127--31",

journal = "American Journal of Digestive Diseases",

issn = "0002-9211",

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TY - JOUR

T1 - Feasibility of Simple Traction Technique for Rectal Endoscopic Submucosal Dissection

AU - Yamasaki, Yasushi

AU - Takeuchi, Yoji

AU - Uedo, Noriya

AU - Kato, Minoru

AU - Hamada, Kenta

AU - Tonai, Yusuke

AU - Matsuura, Noriko

AU - Kanesaka, Takashi

AU - Akasaka, Tomofumi

AU - Hanaoka, Noboru

AU - Higashino, Koji

AU - Ishihara, Ryu

AU - Iishi, Hiroyasu

PY - 2016/7

Y1 - 2016/7

N2 - BACKGROUND AND AIMS: Rectal endoscopic submucosal dissection (ESD) is a highly effective procedure that achieves high en bloc resection regardless of lesion size or location. However, rectal ESD has a higher risk of intraoperative and postoperative bleeding and still difficult for beginners. Therefore, we designed a novel traction technique "traction-assisted rectal ESD using a clip-with-line (TAREC)," and investigated its feasibility.METHODS: Between December 2014 and July 2015, ten patients with rectal neoplasms (median size 36 mm; range 20-125 mm) were treated using the TAREC technique.RESULTS: In all lesions, good visibility of the submucosal layer was obtained, and the submucosal layer was dissected easily under direct visualization. All lesions were removed en bloc, and there were no procedure-related adverse events including postoperative bleeding. In particular, we experienced no intraoperative bleeding, which may be difficult to stop in some circumstances.CONCLUSIONS: The TAREC technique is a simple and generally applicable procedure. This technique is feasible for rectal ESD.

AB - BACKGROUND AND AIMS: Rectal endoscopic submucosal dissection (ESD) is a highly effective procedure that achieves high en bloc resection regardless of lesion size or location. However, rectal ESD has a higher risk of intraoperative and postoperative bleeding and still difficult for beginners. Therefore, we designed a novel traction technique "traction-assisted rectal ESD using a clip-with-line (TAREC)," and investigated its feasibility.METHODS: Between December 2014 and July 2015, ten patients with rectal neoplasms (median size 36 mm; range 20-125 mm) were treated using the TAREC technique.RESULTS: In all lesions, good visibility of the submucosal layer was obtained, and the submucosal layer was dissected easily under direct visualization. All lesions were removed en bloc, and there were no procedure-related adverse events including postoperative bleeding. In particular, we experienced no intraoperative bleeding, which may be difficult to stop in some circumstances.CONCLUSIONS: The TAREC technique is a simple and generally applicable procedure. This technique is feasible for rectal ESD.

KW - Aged

KW - Aged, 80 and over

KW - Colonoscopy/methods

KW - Dissection/methods

KW - Female

KW - Humans

KW - Intestinal Mucosa/surgery

KW - Male

KW - Middle Aged

KW - Rectal Neoplasms/surgery

KW - Transanal Endoscopic Surgery/instrumentation

KW - Treatment Outcome

U2 - 10.1007/s10620-016-4036-2

DO - 10.1007/s10620-016-4036-2

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SN - 0002-9211

VL - 61

SP - 2127

EP - 2131

JO - American Journal of Digestive Diseases

JF - American Journal of Digestive Diseases

IS - 7

ER -

Feasibility of Simple Traction Technique for Rectal Endoscopic Submucosal Dissection

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