دورية أكاديمية
Development of a novel multipoint traction device for gastric and colorectal endoscopic submucosal dissection and evaluation of its efficacy and safety.
| العنوان: | Development of a novel multipoint traction device for gastric and colorectal endoscopic submucosal dissection and evaluation of its efficacy and safety. |
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| المؤلفون: | Okamura T; Department of Gastroenterology, Nagasaki Harbor Medical Center, 6-39 Shinchi, Nagasaki, 850-8555, Japan.; Department of Comprehensive Community Care Systems, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan., Honda T; Honda Internal Medicine and Endoscopy Clinic, Nagasaki, Japan., Ikeda T; Department of Gastroenterology, Nagasaki Harbor Medical Center, 6-39 Shinchi, Nagasaki, 850-8555, Japan., Ishida S; Department of Gastroenterology, Nagasaki Goto Chuoh Hospital, Nagasaki, Japan., Kuribayashi Y; Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan., Ichikawa T; Department of Gastroenterology, Nagasaki Harbor Medical Center, 6-39 Shinchi, Nagasaki, 850-8555, Japan. ichikawa@nagasaki-u.ac.jp.; Department of Comprehensive Community Care Systems, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan. ichikawa@nagasaki-u.ac.jp., Nakao K; Department of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan. |
| المصدر: | Surgical endoscopy [Surg Endosc] 2024 Aug; Vol. 38 (8), pp. 4704-4711. Date of Electronic Publication: 2024 Jun 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| مواضيع طبية MeSH: | Endoscopic Mucosal Resection*/methods , Endoscopic Mucosal Resection*/instrumentation , Traction*/instrumentation , Traction*/methods, Humans ; Male ; Female ; Middle Aged ; Feasibility Studies ; Aged ; Colorectal Neoplasms/surgery ; Equipment Design ; Gastric Mucosa/surgery ; Stomach Neoplasms/surgery |
| مستخلص: | Background: Proper traction allows safer and easier endoscopic submucosal dissection; however, single-point traction may not be sufficient. In this study we assessed the safety, efficacy, and feasibility of our newly developed multipoint traction device. Methods: During an ex vivo study using a Konjac training model, two experts and two trainees resected 80 mock lesions of 20-mm diameter by performing endoscopic submucosal dissection with and without multipoint traction. The primary outcome was the success rate of the procedure involving traction. The secondary outcomes were the submucosal dissection time, dissection speed, and perforation during endoscopic submucosal dissection. During the in vivo study, to clarify the initial clinical outcomes, we used data from the electronic medical record of patients at our institution who underwent gastric and colorectal endoscopic submucosal dissection, which was performed by experts with our newly developed multipoint traction device, from March to December 2022. Results: The ex vivo study indicated that all traction procedures were successful. Higher resection speeds were observed with endoscopic submucosal dissection with traction than without traction (P < 0.001). Perforations were not observed. During the first in vivo clinical study, traction was feasible during 20 gastric and colorectal endoscopic submucosal dissection procedures. No adverse events occurred. Conclusions: Our multitraction device can increase the submucosal dissection speed and simplify endoscopic submucosal dissection techniques, thus safely reducing technical challenges. The application of this device for endoscopic submucosal dissection could lead to safer and more efficient procedures. Clinical registration UMIN Clinical Trials Registry, Japan (registration number UMIN000053384). (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
| References: | Gotoda T, Yamamoto H, Soetikno RM (2006) Endoscopic submucosal dissection of early gastric cancer. J Gastroenterol 41:929–942. (PMID: 10.1007/s00535-006-1954-317096062) Ono H, Yao K, Fujishiro M, Oda I, Uedo N, Nimura S, Yahagi N, Iishi H, Oka M, Ajioka Y, Fujimoto K (2016) Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer. Dig Endosc 28:3–15. (PMID: 10.1111/den.1251826234303) Suzuki H, Takizawa K, Hirasawa T, Takeuchi Y, Ishido K, Hoteya S, Yano T, Tanaka S, Endo M, Nakagawa M, Toyonaga T, Doyama H, Hirasawa K, Matsuda M, Yamamoto H, Fujishiro M, Hashimoto S, Maeda Y, Oyama T, Takenaka R, Yamamoto Y, Naito Y, Michida T, Kobayashi N, Kawahara Y, Hirano M, Jin M, Hori S, Niwa Y, Hikichi T, Shimazu T, Ono H, Tanabe S, Kondo H, Iishi H, Ninomiya M, Oda I for J-WEB/EGC Group (2019) Short-term outcomes of multicenter prospective cohort study of gastric endoscopic resection: ‘Real-world evidence’ in Japan. Dig Endosc 31:30–39. (PMID: 10.1111/den.1324630058258) Tanaka S, Kashida H, Saito Y, Yahagi N, Yamano H, Saito S, Hisabe T, Yao T, Watanabe M, Yoshida M, Kudo S-E, Tsuruta O, Sugihara K-I, Watanabe T, Saitoh Y, Igarashi M, Toyonaga T, Ajioka Y, Ichinose M, Matsui T, Sugita A, Sugano K, Fujimoto K, Tajiri H (2015) JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection. Dig Endosc 27:417–434. (PMID: 10.1111/den.1245625652022) Rösch T, Sarbia M, Schumacher B, Deinert K, Frimberger E, Toermer T, Stolte M, Neuhaus H (2004) Attempted endoscopic en bloc resection of mucosal and submucosal tumors using insulated-tip knives: a pilot series. Endoscopy 36:788–801. (PMID: 10.1055/s-2004-82583815326574) Oda I, Odagaki T, Suzuki H, Nonaka S, Yoshinaga S (2012) Learning curve for endoscopic submucosal dissection of early gastric cancer based on trainee experience. Dig Endosc 24:129–132. (PMID: 10.1111/j.1443-1661.2012.01265.x22533768) Zhang X, Ly EK, Nithyanand S, Modayil RJ, Khodorskiy DO, Neppala S, Bhumi S, DeMaria M, Widmer JL, Friedel DM, Grendell JH, Stavropoulos SN (2020) Learning curve for endoscopic submucosal dissection with an untutored, prevalence-based approach in the United States. Clin Gastroenterol Hepatol 18:580-588.e1. (PMID: 10.1016/j.cgh.2019.06.00831220645) Tsuji K, Yoshida N, Nakanishi H, Takemura K, Yamada S, Doyama H (2016) Recent traction methods for endoscopic submucosal dissection. World J Gastroenterol 22:5917–5926. (PMID: 10.3748/wjg.v22.i26.5917274681864948268) Kitahara G, Kaneko T, Ishido K, Furue Y, Wada T, Watanabe A, Tanabe S, Kusano C (2023) The efficacy and safety of multi-loop traction device for gastric endoscopic submucosal dissection: a single center prospective pilot study. Sci Rep 13:20050. (PMID: 10.1038/s41598-023-47390-43797396510654424) Okagawa Y, Abe S, Takamaru H, Sekiguchi M, Yamada M, Sakamoto T, Saito Y (2021) A novel technique for adjusting traction direction during colorectal endoscopic submucosal dissection using S-O clip. Endoscopy 53:E177–E178. (PMID: 10.1055/a-1216-116732818993) Fujishiro M, Yahagi N, Kakushima N, Kodashima S, Muraki Y, Ono S, Yamamichi N, Tateishi A, Shimizu Y, Oka M, Ogura K, Kawabe T, Ichinose M, Omata M (2006) Endoscopic submucosal dissection of esophageal squamous cell neoplasms. Clin Gastroenterol Hepatol 4:688–694. (PMID: 10.1016/j.cgh.2006.03.02416713746) Ono S, Fujishiro M, Niimi K, Goto O, Kodashima S, Yamamichi N, Omata M (2009) Long-term outcomes of endoscopic submucosal dissection for superficial esophageal squamous cell neoplasms. Gastrointest Endosc 70:860–866. (PMID: 10.1016/j.gie.2009.04.04419577748) Abe S, Wu SYS, Ego M, Takamaru H, Sekiguchi M, Yamada M, Nonaka S, Sakamoto T, Suzuki H, Yoshinaga S, Matsuda T, Oda I, Saito Y (2020) Efficacy of current traction techniques for endoscopic submucosal dissection. Gut Liver 14:673–684. (PMID: 10.5009/gnl19266318878107667936) Sakamoto N, Osada T, Shibuya T, Beppu K, Matsumoto K, Mori H, Kawabe M, Nagahara A, Otaka M, Ogihara T, Watanabe S (2009) Endoscopic submucosal dissection of large colorectal tumors by using a novel spring-action S-O clip for traction (with video). Gastrointest Endosc 69:1370–1374. (PMID: 10.1016/j.gie.2008.12.24519403131) Sakamoto N, Osada T, Shibuya T, Beppu K, Matsumoto K, Shimada Y, Konno A, Kurosawa A, Nagahara A, Ohkusa T, Ogihara T, Watanabe S (2008) The facilitation of a new traction device (S–O clip) assisting endoscopic submucosal dissection for superficial colorectal neoplasms. Endoscopy 40:E94–E95. (PMID: 10.1055/s-2007-99560319085712) Ritsuno H, Sakamoto N, Osada T, Goto SP, Murakami T, Ueyama H, Mori H, Matsumoto K, Beppu K, Shibuya T, Nagahara A, Ogihara T, Watanabe S (2014) Prospective clinical trial of traction device-assisted endoscopic submucosal dissection of large superficial colorectal tumors using the S-O clip. Surg Endosc 28:3143–3149. (PMID: 10.1007/s00464-014-3572-024879138) Nagata M, Fujikawa T, Munakata H (2021) Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms: a randomized controlled trial (with videos). Gastrointest Endosc 93:1097–1109. (PMID: 10.1016/j.gie.2020.09.04933058886) Matsui H, Tamai N, Futakuchi T, Kamba S, Dobashi A, Sumiyama K (2022) Multi-loop traction device facilitates gastric endoscopic submucosal dissection: ex vivo pilot study and an inaugural clinical experience. BMC Gastroenterol 22:10. (PMID: 10.1186/s12876-021-02085-w349914898740506) Fukami N (2013) What we want for ESD is a second hand! Traction method. Gastrointest Endosc 78:274–276. (PMID: 10.1016/j.gie.2013.04.19223867374) Fujinami H, Teramoto A, Takahashi S, Ando T, Kajiura S, Yasuda I (2021) Effectiveness of S-O clip-assisted colorectal endoscopic submucosal dissection. J Clin Med 11:141. (PMID: 10.3390/jcm11010141350118818745244) Matsuzaki I, Hattori M, Yamauchi H, Goto N, Iwata Y, Yokoi T, Tsunemi M, Kobayashi M, Yamamura T, Miyahara R (2020) Magnetic anchor-guided endoscopic submucosal dissection for colorectal tumors (with video). Surg Endosc 34:1012–1018. (PMID: 10.1007/s00464-019-07127-931571035) Kobayashi T, Gotohda T, Tamakawa K, Ueda H, Kakizoe T (2004) Magnetic anchor for more effective endoscopic mucosal resection. Jpn J Clin Oncol 34:118–123. (PMID: 10.1093/jjco/hyh02515078906) Saito Y, Emura F, Matsuda T, Uraoka T, Nakajima T, Ikematsu H, Gotoda T, Saito D, Fujii T (2005) A new sinker-assisted endoscopic submucosal dissection for colorectal cancer. Gastrointest Endosc 62:297–301. (PMID: 10.1016/S0016-5107(05)00546-816046999) Jinushi R, Tashima T, Terada R, Miyaguchi K, Katsuda H, Ogawa T, Nakano Y, Saito Y, Fujita A, Tanisaka Y, Mizuide M, Mashimo Y, Kawasaki T, Ryozawa S (2022) Effectiveness of a multi-loop traction device for colorectal endoscopic submucosal dissection performed by trainees: a pilot study. Sci Rep 12:10197. (PMID: 10.1038/s41598-022-14407-3357155649205909) |
| فهرسة مساهمة: | Keywords: Endoscope; Endoscopic submucosal dissection; Gastric lesions; Multipoint traction clip; Traction |
| تواريخ الأحداث: | Date Created: 20240626 Date Completed: 20240730 Latest Revision: 20240730 |
| رمز التحديث: | 20240731 |
| DOI: | 10.1007/s00464-024-10987-5 |
| PMID: | 38926237 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1432-2218 |
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| DOI: | 10.1007/s00464-024-10987-5 |