Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection

Abstract

Background and study aims Complete closure of large mucosal defects after colorectal endoscopic submucosal dissection (C-ESD) is considered impossible in most cases because of the limited width of the open clip. We therefore invented a simple closure technique using clip-and-line, named "line-assisted complete closure (LACC)", and assessed its technical feasibility. Patients and methods Between January and February 2016, we performed LACC in 11 patients after C-ESD and included them in this retrospective feasibility study. Outcome measures were procedural success rate, procedure time, and post-procedural complications. Results The median size of the resected specimen was 36 mm (range 30 - 72 mm). Procedural success was achieved in 10 of 11 cases (91 %). Those 10 cases required a median of 9 endoclips (range 6 - 12) for complete closure. Median procedure time for LACC was 14 minutes (range 6 - 22). No complications were observed in any of the cases after the procedure. Conclusion LACC is a simple and feasible technique for complete closure of large mucosal defects after C-ESD.

DOI: 10.1055/s-0042-121002

Cite this paper

@inproceedings{Kato2017TechnicalFO, title={Technical feasibility of line-assisted complete closure technique for large mucosal defects after colorectal endoscopic submucosal dissection}, author={Minoru Kato and Yoji Takeuchi and Yasushi Yamasaki and Masamichi Arao and Sho Suzuki and Taro Iwatsubo and Kenta Hamada and Yusuke Tonai and Satoki Shichijo and Noriko Matsuura and Hiroko Nakahira and Takashi Kanesaka and Tomofumi Akasaka and Noboru Hanaoka and Koji Higashino and Noriya Uedo and Ryu Ishihara and Hiroyasu Iishi}, booktitle={Endoscopy international open}, year={2017} }