論文

査読有り
2023年9月30日

Evaluation of a new method, "non-injection resection using bipolar soft coagulation mode (NIRBS)", for colonic adenomatous lesions

Clinical Endoscopy
  • Mitsuo Tokuhara
  • ,
  • Masaaki Shimatani
  • ,
  • Kazunari Tominaga
  • ,
  • Hiroko Nakahira
  • ,
  • Takuya Ohtsu
  • ,
  • Katsuyasu Kouda
  • ,
  • Makoto Naganuma

56
5
開始ページ
623
終了ページ
632
記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.5946/ce.2022.200
出版者・発行元
The Korean Society of Gastrointestinal Endoscopy

Background/Aims: Endoscopic resection of all colorectal adenomatous lesions with a low complication rate, simplicity, and negative residuals is challenging. Hence, we developed a new method called "non-injection resection using bipolar soft coagulation mode (NIRBS)" method, adapted for colorectal lesions. In addition, we evaluated the effectiveness of this method.Methods: We performed NIRBS throughout a 12-month period for all colorectal lesions which snare resection was acceptable without cancerous lesions infiltrating deeper than the submucosal layer.Results: A total of 746 resected lesions were included in the study, with a 4.5 mm mean size (range, 1–35 mm). The major pathological breakdowns were as follows: 64.3% (480/746) were adenomas, and 5.0% (37/746) were intraepithelial adenocarcinomas (Tis lesions). No residuals were observed in any of the 37 Tis lesions (mean size, 15.3 mm). Adverse events included bleeding (0.4%) but no perforation.ConclusionsNIRBS allowed the resection of multiple lesions with simplicity because of the non-injection and without perforating due to the minimal burn effect of the bipolar snare set in the soft coagulation mode. Therefore, NIRBS can be used to resect adenomatous lesions easily, including Tis lesions, from small to large lesions without leaving residuals.

リンク情報
DOI
https://doi.org/10.5946/ce.2022.200
URL
http://e-ce.org/upload/pdf/ce-2022-200.pdf
URL
http://e-ce.org/journal/view.php?doi=10.5946/ce.2022.200
ID情報
  • DOI : 10.5946/ce.2022.200
  • ISSN : 2234-2400
  • eISSN : 2234-2443

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