PMID- 27556096
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160824
LR  - 20200930
IS  - 2364-3722 (Print)
IS  - 2196-9736 (Electronic)
IS  - 2196-9736 (Linking)
VI  - 4
IP  - 7
DP  - 2016 Jul
TI  - Novel technique of endoscopic full-thickness resection for superficial 
      nonampullary duodenal neoplasms to avoid intraperitoneal tumor dissemination.
PG  - E784-7
LID - 10.1055/s-0042-107666 [doi]
AB  - Recently, laparoscopic and/or endoscopic full-thickness resection (FTR) has been 
      reported to be a useful technique for the treatment of superficial duodenal 
      neoplasms (SDNs). In the current study, we evaluated clinical outcomes in 5 
      consecutive patients who underwent resection of nonampullary SDNs using 
      laparoscopy-assisted endoscopic full-thickness resection with ligation Device 
      (LAEFTR-L), which is an alternative FTR method developed to avoid peritoneal 
      dissemination. Using a snare technique with a ligation band, the duodenal lesions 
      were easily resected. The provisional and additional sutures for the resected 
      site prevented delayed perforation and bleeding and they also protected the 
      abdominal cavity from direct exposure to malignant cells. Complete resection 
      could be achieved and FTR was histologically confirmed in all cases. The mean 
      operation time was 173 minutes (range 138 - 217 minutes). Mean diameter of the 
      resected specimen was 24 mm (range 18 - 32 mm). No adverse events (AEs) were 
      observed. LAEFTR-L, which can achieve complete resection of nonampullary SDNs 
      without severe AEs and peritoneal dissemination, could be a useful technique for 
      the treatment of such lesions.
FAU - Ohata, Ken
AU  - Ohata K
AD  - Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan.
FAU - Nonaka, Kouichi
AU  - Nonaka K
AD  - Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan.
FAU - Sakai, Eiji
AU  - Sakai E
AD  - Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan.
FAU - Minato, Yohei
AU  - Minato Y
AD  - Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan.
FAU - Satodate, Hitoshi
AU  - Satodate H
AD  - Department of Surgery, NTT Medical Center Tokyo, Tokyo, Japan.
FAU - Watanabe, Kazuteru
AU  - Watanabe K
AD  - Department of Surgery, NTT Medical Center Tokyo, Tokyo, Japan.
FAU - Matsuhashi, Nobuyuki
AU  - Matsuhashi N
AD  - Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan.
LA  - eng
PT  - Case Reports
DEP - 20160629
PL  - Germany
TA  - Endosc Int Open
JT  - Endoscopy international open
JID - 101639919
PMC - PMC4993879
COIS- Competing interests: None
EDAT- 2016/08/25 06:00
MHDA- 2016/08/25 06:01
PMCR- 2016/07/01
CRDT- 2016/08/25 06:00
PHST- 2016/01/07 00:00 [received]
PHST- 2016/04/25 00:00 [accepted]
PHST- 2016/08/25 06:00 [entrez]
PHST- 2016/08/25 06:00 [pubmed]
PHST- 2016/08/25 06:01 [medline]
PHST- 2016/07/01 00:00 [pmc-release]
AID - 10.1055/s-0042-107666 [doi]
PST - ppublish
SO  - Endosc Int Open. 2016 Jul;4(7):E784-7. doi: 10.1055/s-0042-107666. Epub 2016 Jun 
      29.