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01-01-2016

Outcomes of patients with early gastric cancer who underwent double endoscopic intraluminal surgery

Authors: Yoshitaka Toyomasu, Masaki Suzuki, Toru Yanoma, Akiharu Kimura, Norimichi Kogure, Kyoichi Ogata, Tetsuro Ohno, Erito Mochiki, Hiroyuki Kuwano

Published in: Surgical Endoscopy | Issue 1/2016

Abstract

Background and aims

Endoscopic submucosal dissection (ESD) has been used to treat patients with nonulcerated early gastric cancers of 2 cm or less, because the incidence of lymph node metastasis is negligible. However, the standard ESD procedure is long, complex, and associated with high complication rates. To overcome these limitations, we devised a double endoscopic intraluminal operation (DEILO) and assessed its efficacy and safety for superficial gastric neoplasms in a preliminary prospective study.

Methods

The DEILO procedure was performed on 101 patients with gastric cancers. Two endoscopes were simultaneously inserted into the stomach. One endoscope was used to lift the lesion, and the other was used to excise the lesion.

Results

The DEILO technique was performed successfully, and en bloc resection was achieved for 98 (97.0 %) of 101 patients. Histologically curative resection was achieved for 85 lesions (84.2 %). The mean operating time was 70 min (range 20–178 min). Perforation occurred in four patients (4.0 %), all of whom were successfully treated nonsurgically. Three patients developed postoperative hemorrhage, which was controlled endoscopically.

Conclusion

The DEILO procedure appears to shorten the operating time for ESD, with efficacy and complication rates comparable with the standard procedure.

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Title: Outcomes of patients with early gastric cancer who underwent double endoscopic intraluminal surgery
Authors: Yoshitaka Toyomasu
Masaki Suzuki
Toru Yanoma
Akiharu Kimura
Norimichi Kogure
Kyoichi Ogata
Tetsuro Ohno
Erito Mochiki
Hiroyuki Kuwano
Publication date: 01-01-2016
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 1/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-015-4179-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcomes of patients with early gastric cancer who underwent double endoscopic intraluminal surgery

Abstract

Background and aims

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and aims

Methods

Results

Conclusion

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