INTESTINE Vol.17 No.6(2-2-3)

Theme New developments in capsule/balloon-assisted endoscopy
Title Usefulness of modified single-balloon overtubeguided colorectal endoscopic submucosal dissection
Publish Date 2013/12
Author Ken Ohata Department of Gastroenterology, Kanto Medical Center NTT
Author Ikurou Koba Department of Gastroenterology, Yamaga Chuo Hospital
Author Nobutsugu Misumi Department of Gastroenterology, Kanto Medical Center NTT
Author Tomoaki Tashima Department of Gastroenterology, Kanto Medical Center NTT
Author Yohei Minato Department of Gastroenterology, Kanto Medical Center NTT
Author Meiko Shozushima Department of Gastroenterology, Kanto Medical Center NTT
Author Kouichi Nonaka Department of Gastroenterology, Kanto Medical Center NTT
Author Tomohiko Ohya 3Department of Endoscopy, The Jikei University School of Medicine
Author Nobuyuki Matsuhashi Department of Gastroenterology, Kanto Medical Center NTT
[ Summary ] Colorectal ESD has been adopted with the development of various techniques. Starting in April 2012, the cost of colorectal ESD has been covered by national health insurance in Japan.
The essential rationale for colorectal ESD procedures is to provide clear views which make it possible to maintain control straight instruments with effective tip control. The use of a modified singleballoon overtube can improve access to the lesion and facilitate endoscope maneuverability. We describe our methods for using modified single-balloon overtubes for colorectal ESD. Our techniques may help to overcome difficulties with colorectal ESD.
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