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Effective Retrograde Dissection by the Floating Tongue-Like Flap Method for Gastric Neoplasm Involving the Pyloric Channel
Background/Aims: Endoscopic submucosal dissection (ESD) of gastric neoplasm involving the pyloric channel (GNPC) is technically challenging due to difficulty in precise assessment of resection margin and inadequate visualization. The aim of this study was to evaluate the effectiveness and long-term...
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| Published in: | Gut and liver 2022-11, Vol.16 (6), p.892 |
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| Main Authors: | , , , , , |
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| Language: | Korean |
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| container_issue | 6 |
| container_start_page | 892 |
| container_title | Gut and liver |
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| creator | Seong Min Kim Jong-jae Park Moon Kyung Joo Beom Jae Lee Hoon Jai Chun Sang Woo Lee |
| description | Background/Aims: Endoscopic submucosal dissection (ESD) of gastric neoplasm involving the pyloric channel (GNPC) is technically challenging due to difficulty in precise assessment of resection margin and inadequate visualization. The aim of this study was to evaluate the effectiveness and long-term outcome of ESD for GNPC and introduce a noble technique for resection of GNPC.
Methods: A total of 97 patients with GNPC underwent ESD from January 2007 to October 2017. We divided them into a conventional anterograde resection group and a retrograde resection group according to the method of procedure. We compared their clinical outcomes and investigated risk factors for postprocedural complications.
Results: The en bloc resection rate was 87.6%, and complete resection rate was 83.5%. Postprocedure stenosis occurred in 16 cases (16.5%). GNPCs of the retrograde resection group were more frequently located from antrum to bulb, were significantly larger, were related to ≥75% resection of the circumference, and involved significantly longer procedure times than those in the anterograde resection group. Multivariate analysis showed that resection ≥75% of the circumference was the only significant risk factor for postprocedure stenosis.
Conclusions: ESD by retrograde resection method is a novel technique to make the procedure easier, depending on the size, location, and circumference of resection. (Gut Liver 2022;16:892-898) |
| format | article |
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Methods: A total of 97 patients with GNPC underwent ESD from January 2007 to October 2017. We divided them into a conventional anterograde resection group and a retrograde resection group according to the method of procedure. We compared their clinical outcomes and investigated risk factors for postprocedural complications.
Results: The en bloc resection rate was 87.6%, and complete resection rate was 83.5%. Postprocedure stenosis occurred in 16 cases (16.5%). GNPCs of the retrograde resection group were more frequently located from antrum to bulb, were significantly larger, were related to ≥75% resection of the circumference, and involved significantly longer procedure times than those in the anterograde resection group. Multivariate analysis showed that resection ≥75% of the circumference was the only significant risk factor for postprocedure stenosis.
Conclusions: ESD by retrograde resection method is a novel technique to make the procedure easier, depending on the size, location, and circumference of resection. (Gut Liver 2022;16:892-898)</description><identifier>ISSN: 1976-2283</identifier><identifier>EISSN: 2005-1212</identifier><language>kor</language><publisher>대한소화기기능성질환·운동학회</publisher><subject>Endoscopic submucosal dissection ; Gastric neoplasms ; Pylorus</subject><ispartof>Gut and liver, 2022-11, Vol.16 (6), p.892</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790</link.rule.ids></links><search><creatorcontrib>Seong Min Kim</creatorcontrib><creatorcontrib>Jong-jae Park</creatorcontrib><creatorcontrib>Moon Kyung Joo</creatorcontrib><creatorcontrib>Beom Jae Lee</creatorcontrib><creatorcontrib>Hoon Jai Chun</creatorcontrib><creatorcontrib>Sang Woo Lee</creatorcontrib><title>Effective Retrograde Dissection by the Floating Tongue-Like Flap Method for Gastric Neoplasm Involving the Pyloric Channel</title><title>Gut and liver</title><addtitle>Gut and Liver</addtitle><description>Background/Aims: Endoscopic submucosal dissection (ESD) of gastric neoplasm involving the pyloric channel (GNPC) is technically challenging due to difficulty in precise assessment of resection margin and inadequate visualization. The aim of this study was to evaluate the effectiveness and long-term outcome of ESD for GNPC and introduce a noble technique for resection of GNPC.
Methods: A total of 97 patients with GNPC underwent ESD from January 2007 to October 2017. We divided them into a conventional anterograde resection group and a retrograde resection group according to the method of procedure. We compared their clinical outcomes and investigated risk factors for postprocedural complications.
Results: The en bloc resection rate was 87.6%, and complete resection rate was 83.5%. Postprocedure stenosis occurred in 16 cases (16.5%). GNPCs of the retrograde resection group were more frequently located from antrum to bulb, were significantly larger, were related to ≥75% resection of the circumference, and involved significantly longer procedure times than those in the anterograde resection group. Multivariate analysis showed that resection ≥75% of the circumference was the only significant risk factor for postprocedure stenosis.
Conclusions: ESD by retrograde resection method is a novel technique to make the procedure easier, depending on the size, location, and circumference of resection. (Gut Liver 2022;16:892-898)</description><subject>Endoscopic submucosal dissection</subject><subject>Gastric neoplasms</subject><subject>Pylorus</subject><issn>1976-2283</issn><issn>2005-1212</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9jctqwzAUREVoIe7jC7K5P2CQ5dhx1onTFJJSSvZBsa9tNbKukVSD8_WNoOuuBs5hZmYsEpxncSIS8cCiZL3KYyGKdM6enPvmPE_EKovYrWwarLwaEb7QW2qtrBG2yrlAycBlAt8h7DRJr0wLJzLtD8YHdQ1QDnBE31ENDVl4k85bVcEH0qCl6-HdjKTHUAsbn5OmoDedNAb1C3tspHb4-pfPbLErT5t9fL2_nweremmnc7ou-DIt0v_tLyUgSb8</recordid><startdate>20221130</startdate><enddate>20221130</enddate><creator>Seong Min Kim</creator><creator>Jong-jae Park</creator><creator>Moon Kyung Joo</creator><creator>Beom Jae Lee</creator><creator>Hoon Jai Chun</creator><creator>Sang Woo Lee</creator><general>대한소화기기능성질환·운동학회</general><scope>HZB</scope><scope>Q5X</scope></search><sort><creationdate>20221130</creationdate><title>Effective Retrograde Dissection by the Floating Tongue-Like Flap Method for Gastric Neoplasm Involving the Pyloric Channel</title><author>Seong Min Kim ; Jong-jae Park ; Moon Kyung Joo ; Beom Jae Lee ; Hoon Jai Chun ; Sang Woo Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kiss_primary_39804383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2022</creationdate><topic>Endoscopic submucosal dissection</topic><topic>Gastric neoplasms</topic><topic>Pylorus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seong Min Kim</creatorcontrib><creatorcontrib>Jong-jae Park</creatorcontrib><creatorcontrib>Moon Kyung Joo</creatorcontrib><creatorcontrib>Beom Jae Lee</creatorcontrib><creatorcontrib>Hoon Jai Chun</creatorcontrib><creatorcontrib>Sang Woo Lee</creatorcontrib><collection>KISS(한국학술정보)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><jtitle>Gut and liver</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seong Min Kim</au><au>Jong-jae Park</au><au>Moon Kyung Joo</au><au>Beom Jae Lee</au><au>Hoon Jai Chun</au><au>Sang Woo Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effective Retrograde Dissection by the Floating Tongue-Like Flap Method for Gastric Neoplasm Involving the Pyloric Channel</atitle><jtitle>Gut and liver</jtitle><addtitle>Gut and Liver</addtitle><date>2022-11-30</date><risdate>2022</risdate><volume>16</volume><issue>6</issue><spage>892</spage><pages>892-</pages><issn>1976-2283</issn><eissn>2005-1212</eissn><notes>The Korean Society of Gastrointestinal Motility</notes><abstract>Background/Aims: Endoscopic submucosal dissection (ESD) of gastric neoplasm involving the pyloric channel (GNPC) is technically challenging due to difficulty in precise assessment of resection margin and inadequate visualization. The aim of this study was to evaluate the effectiveness and long-term outcome of ESD for GNPC and introduce a noble technique for resection of GNPC.
Methods: A total of 97 patients with GNPC underwent ESD from January 2007 to October 2017. We divided them into a conventional anterograde resection group and a retrograde resection group according to the method of procedure. We compared their clinical outcomes and investigated risk factors for postprocedural complications.
Results: The en bloc resection rate was 87.6%, and complete resection rate was 83.5%. Postprocedure stenosis occurred in 16 cases (16.5%). GNPCs of the retrograde resection group were more frequently located from antrum to bulb, were significantly larger, were related to ≥75% resection of the circumference, and involved significantly longer procedure times than those in the anterograde resection group. Multivariate analysis showed that resection ≥75% of the circumference was the only significant risk factor for postprocedure stenosis.
Conclusions: ESD by retrograde resection method is a novel technique to make the procedure easier, depending on the size, location, and circumference of resection. (Gut Liver 2022;16:892-898)</abstract><pub>대한소화기기능성질환·운동학회</pub><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1976-2283 |
| ispartof | Gut and liver, 2022-11, Vol.16 (6), p.892 |
| issn | 1976-2283 2005-1212 |
| language | kor |
| recordid | cdi_kiss_primary_3980438 |
| source | PubMed Central |
| subjects | Endoscopic submucosal dissection Gastric neoplasms Pylorus |
| title | Effective Retrograde Dissection by the Floating Tongue-Like Flap Method for Gastric Neoplasm Involving the Pyloric Channel |
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