Endoscopic Submucosal Dissection (ESD) Using Double Balloon Endoscopy (DBE-ESD) for Superficial Colonic Neoplasm Keijiro Sunada 1 , Hironori Yamamoto 1 , Tomohiko Miyata 1 , Michiko Iwamoto 1 , Tomonori Yano 1 , Masayuki Arashiro 1 , Yoshikazu Hayashi 1 , Hiroki Taguchi 1 , Yoshimasa Miura 1 , Nobuhiro Minami 1 , Daisuke Chiba 1 , Masahiro Wada 1 1Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan Keyword: ダブルバルーン内視鏡 , endoscopic submucosal dissection , ESD , paradoxical movement pp.1108-1114
Published Date 2007/6/25
DOI https://doi.org/10.11477/mf.1403101138
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 Double balloon endoscopy (DBE) was originally developed for endoscopic investigation and intervention of the entire small intestine. It has been shown to be useful for difficult colon intervention as well. The principle of DBE is that by holding the intestinal wall with a balloon attached to the distal end of a soft overtube, the endoscope can be inserted further without intestinal extension.

 ESD for colorectal superficial lesions is thought to be difficult because very delicate endoscopic control is needed to carry out the procedure without complications such as perforation.

 Using a conventional colonoscope, even an expert endoscopist may struggle to control the endoscope to carry out ESD if the lesion is located in a difficult position of the colon.

 In order to facilitate the procedure, we applied DBE for colorectal ESD (DBE-ESD) in eleven lesions (7.6% of a total of144colorectal ESD cases) from September, 2004 to November, 2006 and its usefulness was suggested.

Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.


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