Endoscopic tissue shielding method with polyglycolic acid sheets and fibrin glue to prevent delayed perforation after duodenal endoscopic submucosal dissection

2014 ◽  
Vol 26 ◽  
pp. 46-49 ◽  
Author(s):  
Kengo Takimoto ◽  
Yoshihito Imai ◽  
Kiichi Matsuyama
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Submucosal Dissection ◽  
Delayed Perforation

scholarly journals Feasibility of a modified search, coagulation, and clipping method with and without the use of polyglycolic acid sheets and fibrin glue for preventing delayed bleeding after gastric endoscopic submucosal dissection

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Satoshi Abiko ◽  
Soichiro Oda ◽  
Akimitsu Meno ◽  
Akane Shido ◽  
Sonoe Yoshida ◽  
...  
Keyword(s):  
High Risk ◽  
Endoscopic Submucosal Dissection ◽  
Median Time ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Low Risk ◽  
R0 Resection ◽  
Antithrombotic Agents ◽  
Delayed Bleeding ◽  
Submucosal Dissection

Abstract Background Methods have been developed for preventing delayed bleeding (DB) after gastric endoscopic submucosal dissection (GESD). However, none of the methods can completely prevent DB. We hypothesized that DB could be prevented by a modified search, coagulation, and clipping (MSCC) method for patients at low risk for DB and by combining the use of polyglycolic acid sheets and fibrin glue with the MSCC method (PMSCC method) for patients at high risk for DB (antibleeding [ABI] strategy). This study assessed the technical feasibility of this novel strategy. Method We investigated 123 lesions in 121 consecutive patients who underwent GESD in Kushiro Rosai Hospital between April 2018 and January 2020. The decision for continuation or cessation of antithrombotic agents was based on the Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment. Results Oral antithrombotic agents were administered to 28 patients (22.8%). The en bloc R0 resection rate was 98.4%. The MSCC method and the PMSCC method for preventing DB were performed in 114 and 9 lesions, respectively. The median time of the MSCC method was 16 min, and the median speed (the resection area divided by the time of method used) was 3.6 cm2/10 min. The median time of the PMSCC method was 59 min, and the median speed was 1.3 cm2/10 min. The only delayed procedural adverse event was DB in 1 (0.8%) of the 123 lesions. Conclusions The ABI strategy is feasible for preventing DB both in patients at low risk and in those at high risk for DB after GESD, whereas the PMSCC method may be necessary for reduction of time.

218 Polyglycolic Acid Sheets With Fibrin Glue for the Prevention of Postoperative Stricture After Esophageal Endoscopic Submucosal Dissection

2015 ◽  
Vol 81 (5) ◽  
pp. AB127-AB128 ◽  
Author(s):  
Yoshiki Sakaguchi ◽  
Yosuke Tsuji ◽  
Yosuke Kataoka ◽  
Itaru Saito ◽  
Satoki Shichijo ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Submucosal Dissection

Mo1523 Prevention of Bleeding After Endoscopic Submucosal Dissection for Gastric Neoplasms Using Polyglycolic Acid Sheets and Fibrin Glue

2015 ◽  
Vol 81 (5) ◽  
pp. AB452
Author(s):  
Yosuke Tsuji ◽  
Mitsuhiro Fujishiro ◽  
Yosuke Kataoka ◽  
Itaru Saito ◽  
Yoshiki Sakaguchi ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Gastric Neoplasms ◽  
Submucosal Dissection
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