An effective and safe gastric endoscopic submucosal dissection in the right lateral position using an inverted overtube.

Abstract:

:Previously, we reported the efficacy of a newly developed inverted overtube in shortening the hemostatic time and obtaining a clear endoscopic view in emergency endoscopic hemostasis. This device also helped us to perform gastric endoscopic submucosal dissection (ESD) more safely by changing the direction of gravity in the right lateral position. To perform a safe ESD, it is important to make an appropriate angle and distance between the electric knife and the gastric mucosa. In this position, the distance to gastric mucosa is reduced, and the angle of the electric knife changes from vertical to somewhat oblique, facilitating safer cutting.

journal_name

World J Gastroenterol

authors

Mori H,Rafiq K,Kobara H,Nishiyama N,Fujihara S,Yachida T,Ayagi M,Tani J,Miyoshi H,Masaki T

doi

10.3748/wjg.v20.i6.1623

subject

Has Abstract

pub_date

2014-02-14 00:00:00

pages

1623-5

issue

6

eissn

1007-9327

issn

2219-2840

journal_volume

20

pub_type

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