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Colonic ESD Using Double Balloon Endoscopy and SAFEKnifeV Yuji Ino 1 , Hironori Yamamoto 1 , Yoshimasa Miura 1 , Yoshikazu Hayashi 1 , Keijiro Sunada 1 , Hiroyuki Sato 1 , Hakuei Shinhata 1 , Tomonori Yano 1 , Kentaro Sugano 1 1Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan Keyword: 大腸ESD , ダブルバルーン内視鏡 , SAFEKnife pp.164-172
Published Date 2013/2/25
DOI https://doi.org/10.11477/mf.1403113721
  • Abstract
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 In the colon and rectum, the application of ESD(endoscopic submucosal dissection)is no larger common because it is thought to be technically difficult to carry out the procedure without perforating the wall. By using conventional colonoscopy, even the expert endoscopist may struggle to control the endoscope to carry out ESD when lesions are located in difficult positions in the deep colon. Double balloon endoscopy was originally developed for exploration and endoscopic intervention in the small intestine. It has been shown to be useful as well for difficult colon situations. In order to facilitate the procedure, we applied double balloon endoscopy for colorectal ESD in 58lesions(9.2% of a total of 632colorectal ESDs)between September 2004 and March 2012, and its usefulness was confirmed.

 SAFEKnifeV enables safe and effective dissection of the submucosal layer, using a vertical approach.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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