Application of balloon occluder for specimen collection after descending duodenal ESD

IF 1.1 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Arab Journal of Gastroenterology Pub Date : 2024-08-01 DOI:10.1016/j.ajg.2024.06.006
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Abstract

Endoscopic submucosal dissection (ESD) is a popular technique for resecting duodenal tumors. However, there is a risk of losing resected specimens during the procedure, particularly for lesions in the descending part of the duodenum. This study aims to introduce a simple and effective method for specimen collection after descending duodenal ESD using a self-made balloon occluder. The balloon occluder, made from a spray pipe and sterile rubber glove, is utilized to prevent the loss of resected specimens. The balloon is inflated under endoscopic visualization, occluding the descending lumen. With careful timing, the resected specimen can be safely collected by grasping it from the balloon using foreign forceps. This method has been successfully applied in several cases, demonstrating its practicality and efficacy. Further evaluation and validation of this technique in a larger patient population are warranted to establish its wider application in clinical practice.

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应用球囊闭塞器收集降十二指肠ESD后的标本。
内镜黏膜下剥离术(ESD)是切除十二指肠肿瘤的常用技术。然而,手术过程中存在丢失切除标本的风险,尤其是十二指肠降段的病变。本研究旨在介绍一种简单有效的方法,利用自制的球囊闭塞器在十二指肠降段ESD术后收集标本。气球闭塞器由喷管和无菌橡胶手套制成,用于防止切除标本的丢失。在内窥镜可视情况下对球囊进行充气,堵塞降腔。如果时间掌握得当,用外来镊子从气球上抓住切除的标本,就可以安全地收集标本。这种方法已成功应用于多个病例,证明了其实用性和有效性。有必要在更大的患者群体中进一步评估和验证这种技术,以确定其在临床实践中的广泛应用。
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来源期刊
Arab Journal of Gastroenterology
Arab Journal of Gastroenterology Medicine-Gastroenterology
CiteScore
2.70
自引率
0.00%
发文量
52
期刊介绍: Arab Journal of Gastroenterology (AJG) publishes different studies related to the digestive system. It aims to be the foremost scientific peer reviewed journal encompassing diverse studies related to the digestive system and its disorders, and serving the Pan-Arab and wider community working on gastrointestinal disorders.
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