Clutch Cutter knife efficacy in endoscopic submucosal dissection for early gastric neoplasms

Yasuyo Hayashi, Mitsuru Esaki, Sho Suzuki, Eikichi Ihara, Azusa Yokoyama, Seiichiro Sakisaka, Taizo Hosokawa, Yoshimasa Tanaka, Takahiro Mizutani, Shinichi Tsuruta, Aya Iwao, Shun Yamakawa, Akira Irie, Yosuke Minoda, Yoshitaka Hata, Haruei Ogino, Hirotada Akiho, Yoshihiro Ogawa

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

AIM To compare the outcomes of endoscopic submucosal dissection (ESD) for gastric neoplasms using Clutch Cutter (ESD-C) or other knives (ESD-O). METHODS This was a single-center retrospective study. Gastric neoplasms treated by ESD between April 2016 and October 2017 at Kitakyushu Municipal Medical Center were reviewed. Multivariate analyses and propensity score matching were used to reduce biases. Covariates included factors that might affect outcomes of ESD, including age, sex, underlying disease, anti-thrombotic drugs use, tumor location, tumor position, tumor size, tumor depth, tumor morphology, tumor histology, ulcer (scar), and operator skill. The treatment outcomes were compared among two groups. The primary outcome was ESD procedure time. Secondary outcomes were en bloc, complete, and curative resection rates, and adverse events rates including perforation and delayed bleeding. RESULTS A total of 155 patients were included in this study; 44 pairs were created by propensity score matching. Background characteristics were quite similar among two groups after matching. Procedure time was significantly shorter for ESD-C (median; 49 min) than for ESD-O (median; 88.5 min) (P < 0.01). However, there was no significant difference in treatment outcomes between ESD-C and ESD-O including en bloc resection rate (100% in both groups), complete resection rate (100% in both groups), curative resection rate (86.4% vs 88.6%, P = 0.730), delayed bleeding (2.3% vs 6.8%, P = 0.62) and perforation (0% in both groups). CONCLUSION ESD-C achieved shorter procedure time without an increase in complication risk. Therefore, ESD-C could become an effective ESD option for gastric neoplasms.

元の言語英語
ページ(範囲)487-495
ページ数9
ジャーナルWorld Journal of Gastrointestinal Oncology
10
発行部数12
DOI
出版物ステータス出版済み - 12 1 2018

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Stomach Neoplasms
Neoplasms
Propensity Score
Endoscopic Mucosal Resection
Hemorrhage
Ulcer
Cicatrix
Histology
Multivariate Analysis
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Oncology
  • Gastroenterology

これを引用

Clutch Cutter knife efficacy in endoscopic submucosal dissection for early gastric neoplasms. / Hayashi, Yasuyo; Esaki, Mitsuru; Suzuki, Sho; Ihara, Eikichi; Yokoyama, Azusa; Sakisaka, Seiichiro; Hosokawa, Taizo; Tanaka, Yoshimasa; Mizutani, Takahiro; Tsuruta, Shinichi; Iwao, Aya; Yamakawa, Shun; Irie, Akira; Minoda, Yosuke; Hata, Yoshitaka; Ogino, Haruei; Akiho, Hirotada; Ogawa, Yoshihiro.

:: World Journal of Gastrointestinal Oncology, 巻 10, 番号 12, 01.12.2018, p. 487-495.

研究成果: ジャーナルへの寄稿記事

Hayashi, Y, Esaki, M, Suzuki, S, Ihara, E, Yokoyama, A, Sakisaka, S, Hosokawa, T, Tanaka, Y, Mizutani, T, Tsuruta, S, Iwao, A, Yamakawa, S, Irie, A, Minoda, Y, Hata, Y, Ogino, H, Akiho, H & Ogawa, Y 2018, 'Clutch Cutter knife efficacy in endoscopic submucosal dissection for early gastric neoplasms' World Journal of Gastrointestinal Oncology, 巻. 10, 番号 12, pp. 487-495. https://doi.org/10.4251/wjgo.v10.i12.487
Hayashi, Yasuyo ; Esaki, Mitsuru ; Suzuki, Sho ; Ihara, Eikichi ; Yokoyama, Azusa ; Sakisaka, Seiichiro ; Hosokawa, Taizo ; Tanaka, Yoshimasa ; Mizutani, Takahiro ; Tsuruta, Shinichi ; Iwao, Aya ; Yamakawa, Shun ; Irie, Akira ; Minoda, Yosuke ; Hata, Yoshitaka ; Ogino, Haruei ; Akiho, Hirotada ; Ogawa, Yoshihiro. / Clutch Cutter knife efficacy in endoscopic submucosal dissection for early gastric neoplasms. :: World Journal of Gastrointestinal Oncology. 2018 ; 巻 10, 番号 12. pp. 487-495.
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title = "Clutch Cutter knife efficacy in endoscopic submucosal dissection for early gastric neoplasms",
abstract = "AIM To compare the outcomes of endoscopic submucosal dissection (ESD) for gastric neoplasms using Clutch Cutter (ESD-C) or other knives (ESD-O). METHODS This was a single-center retrospective study. Gastric neoplasms treated by ESD between April 2016 and October 2017 at Kitakyushu Municipal Medical Center were reviewed. Multivariate analyses and propensity score matching were used to reduce biases. Covariates included factors that might affect outcomes of ESD, including age, sex, underlying disease, anti-thrombotic drugs use, tumor location, tumor position, tumor size, tumor depth, tumor morphology, tumor histology, ulcer (scar), and operator skill. The treatment outcomes were compared among two groups. The primary outcome was ESD procedure time. Secondary outcomes were en bloc, complete, and curative resection rates, and adverse events rates including perforation and delayed bleeding. RESULTS A total of 155 patients were included in this study; 44 pairs were created by propensity score matching. Background characteristics were quite similar among two groups after matching. Procedure time was significantly shorter for ESD-C (median; 49 min) than for ESD-O (median; 88.5 min) (P < 0.01). However, there was no significant difference in treatment outcomes between ESD-C and ESD-O including en bloc resection rate (100{\%} in both groups), complete resection rate (100{\%} in both groups), curative resection rate (86.4{\%} vs 88.6{\%}, P = 0.730), delayed bleeding (2.3{\%} vs 6.8{\%}, P = 0.62) and perforation (0{\%} in both groups). CONCLUSION ESD-C achieved shorter procedure time without an increase in complication risk. Therefore, ESD-C could become an effective ESD option for gastric neoplasms.",
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T1 - Clutch Cutter knife efficacy in endoscopic submucosal dissection for early gastric neoplasms

AU - Hayashi, Yasuyo

AU - Esaki, Mitsuru

AU - Suzuki, Sho

AU - Ihara, Eikichi

AU - Yokoyama, Azusa

AU - Sakisaka, Seiichiro

AU - Hosokawa, Taizo

AU - Tanaka, Yoshimasa

AU - Mizutani, Takahiro

AU - Tsuruta, Shinichi

AU - Iwao, Aya

AU - Yamakawa, Shun

AU - Irie, Akira

AU - Minoda, Yosuke

AU - Hata, Yoshitaka

AU - Ogino, Haruei

AU - Akiho, Hirotada

AU - Ogawa, Yoshihiro

PY - 2018/12/1

Y1 - 2018/12/1

N2 - AIM To compare the outcomes of endoscopic submucosal dissection (ESD) for gastric neoplasms using Clutch Cutter (ESD-C) or other knives (ESD-O). METHODS This was a single-center retrospective study. Gastric neoplasms treated by ESD between April 2016 and October 2017 at Kitakyushu Municipal Medical Center were reviewed. Multivariate analyses and propensity score matching were used to reduce biases. Covariates included factors that might affect outcomes of ESD, including age, sex, underlying disease, anti-thrombotic drugs use, tumor location, tumor position, tumor size, tumor depth, tumor morphology, tumor histology, ulcer (scar), and operator skill. The treatment outcomes were compared among two groups. The primary outcome was ESD procedure time. Secondary outcomes were en bloc, complete, and curative resection rates, and adverse events rates including perforation and delayed bleeding. RESULTS A total of 155 patients were included in this study; 44 pairs were created by propensity score matching. Background characteristics were quite similar among two groups after matching. Procedure time was significantly shorter for ESD-C (median; 49 min) than for ESD-O (median; 88.5 min) (P < 0.01). However, there was no significant difference in treatment outcomes between ESD-C and ESD-O including en bloc resection rate (100% in both groups), complete resection rate (100% in both groups), curative resection rate (86.4% vs 88.6%, P = 0.730), delayed bleeding (2.3% vs 6.8%, P = 0.62) and perforation (0% in both groups). CONCLUSION ESD-C achieved shorter procedure time without an increase in complication risk. Therefore, ESD-C could become an effective ESD option for gastric neoplasms.

AB - AIM To compare the outcomes of endoscopic submucosal dissection (ESD) for gastric neoplasms using Clutch Cutter (ESD-C) or other knives (ESD-O). METHODS This was a single-center retrospective study. Gastric neoplasms treated by ESD between April 2016 and October 2017 at Kitakyushu Municipal Medical Center were reviewed. Multivariate analyses and propensity score matching were used to reduce biases. Covariates included factors that might affect outcomes of ESD, including age, sex, underlying disease, anti-thrombotic drugs use, tumor location, tumor position, tumor size, tumor depth, tumor morphology, tumor histology, ulcer (scar), and operator skill. The treatment outcomes were compared among two groups. The primary outcome was ESD procedure time. Secondary outcomes were en bloc, complete, and curative resection rates, and adverse events rates including perforation and delayed bleeding. RESULTS A total of 155 patients were included in this study; 44 pairs were created by propensity score matching. Background characteristics were quite similar among two groups after matching. Procedure time was significantly shorter for ESD-C (median; 49 min) than for ESD-O (median; 88.5 min) (P < 0.01). However, there was no significant difference in treatment outcomes between ESD-C and ESD-O including en bloc resection rate (100% in both groups), complete resection rate (100% in both groups), curative resection rate (86.4% vs 88.6%, P = 0.730), delayed bleeding (2.3% vs 6.8%, P = 0.62) and perforation (0% in both groups). CONCLUSION ESD-C achieved shorter procedure time without an increase in complication risk. Therefore, ESD-C could become an effective ESD option for gastric neoplasms.

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