Journal article
Usefulness of the S-O clip for gastric endoscopic submucosal dissection (with video)
Surgical endoscopy, Vol.32(2), pp.908-914
02/01/2018
DOI: 10.1007/s00464-017-5765-9
PMID: 28733749
Abstract
Background Endoscopic submucosal dissection (ESD) is technically one of the most complicated endoscopic procedures. Traction methods have been reported to be effective for ESD. A recent study revealed that the S-O clip allowed faster and safer colonic ESD. We assessed the efficacy and safety of gastric ESD with the S-O clip for gastric epithelial neoplasm.
Methods We performed a retrospective cohort study of patients treated for gastric ESD using the S-O clip between September and November 2016 (SO group, n = 48). The subjects were matched with patients treated with conventional gastric ESD from September 2015 to August 2016 (control group, n = 258) at Sendai Kousei Hospital, a tertiary endoscopic center. The primary outcome was procedure time. Multivariate logistic regression and propensity score matching analyses were performed to reduce the effects of selection bias for potential confounding factors differences like age, sex, lesion location, lesion position, presence of ulcer scarring, resected specimen size, and operator experiences.
Results Forty-eight pairs were created after propensity score matching. The mean procedure time (including the S-O clip attachment time) was significantly shorter in the SO group (47.2 +/- 24.6 vs. 69.2 +/- 67.1 min, p = 0.035). The mean clip attachment time was 4.4 (range 2-15) min. There were no significant differences in other treatment outcomes (en-bloc resection rate: 100 vs. 100%, p = 1.000; perforation rate: 0 vs. 2.1%, p = 0.315; delayed bleeding rate: 2.1 vs. 4.3%, p = 0.558).
Conclusions The S-O clip improved the speed of gastric ESD by approximately 25%, without increasing adverse events.
Details
- Title: Subtitle
- Usefulness of the S-O clip for gastric endoscopic submucosal dissection (with video)
- Creators
- Rintaro Hashimoto - Sendai Kousei HospitalDai Hirasawa - Sendai Kousei HospitalTomoyuki Iwaki - Sendai Kousei HospitalHajime Yamaoka - Sendai Kousei HospitalKousuke Nihei - Sendai Kousei HospitalIppei Tanaka - Sendai Kousei HospitalAkimichi Chonan - Sendai Kousei HospitalKei Takase - Tohoku University
- Resource Type
- Journal article
- Publication Details
- Surgical endoscopy, Vol.32(2), pp.908-914
- Publisher
- Springer Nature
- DOI
- 10.1007/s00464-017-5765-9
- PMID
- 28733749
- ISSN
- 0930-2794
- eISSN
- 1432-2218
- Number of pages
- 7
- Language
- English
- Date published
- 02/01/2018
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695837502771
Metrics
4 Record Views