Category |
Gastroenterology & Hepatology |
Manuscript Type |
Case Report |
Article Title |
Endoscopic submucosal tunnel dissection salvage technique for ulcerative early gastric cancer
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
Hyuk Soon Choi, Hoon Jai Chun, Min Ho Seo, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Hong Sik Lee, Soon Ho Um, Chang Duck Kim and Ho Sang Ryu |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Korea Healthcare Technology R and D Project, Ministry of Health and Welfare, South Korea |
A111182 |
Korea University |
|
|
Corresponding Author |
Hoon Jai Chun, MD, PhD, AGAF, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Korea University Medical Center, Inchon-ro 73, Seongbuk-gu, Seoul 136-705, South Korea. drchunhj@chol.com |
Key Words |
Endoscopy; Early gastric cancer; Endoscopic submucosal dissection; Endoscopic submucosal tunnel dissection; Fibrosis |
Core Tip |
The fibrosis found in ulcerative early gastric cancer (EGC) has been an obstacle to successful endoscopic submucosal dissection (ESD). This report demonstrates the first use of the endoscopic submucosal tunnel dissection (ESTD) salvage technique for treatment of ulcerative EGC with fibrosis. ESTD involves the use of an endoscopic cap under the tunnel flap, which enables a clear view of the submucosal dissection line, making it easier than conventional ESD to resect an EGC lesion without complication. Therefore, the ESTD salvage technique has several advantages for resection of EGC with severe fibrosis due to previous ESD or severe ulceration. |
Publish Date |
2014-07-21 17:17 |
Citation |
Choi HS, Chun HJ, Seo MH, Kim ES, Keum B, Seo YS, Jeen YT, Lee HS, Um SH, Kim CD, Ryu HS. Endoscopic submucosal tunnel dissection salvage technique for ulcerative early gastric cancer. World J Gastroenterol 2014; 20(27): 9210-9214 |
URL |
http://www.wjgnet.com/1007-9327/full/v20/i27/9210.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v20.i27.9210 |