The “Asclepius tube”: a slim drainage tube wrapped around the distal part of the endoscope for cecal endoscopic submucosal dissection
In order to manage colorectal lesions, especially those with severe submucosal fibrosis, we have developed the pocket-creation method (PCM).1 The PCM is now recommended for colorectal endoscopic submucosal dissection (ESD) by the 2023 technical review of the European Society of Gastrointestinal Endoscopy.2 When performing ESD with PCM, gas and fluid are endoscopically aspirated to collapse the bowel lumen and reduce distension.3 Alternatively, the use of an accessory drainage tube allows gas and fluid drainage, obviating the need for endoscopic aspiration.
Authors
- Yuka Kagaya
- Yoshikazu Hayashi (ORCID: https://orcid.org/0000-0003-2393-639X)
- Edward J. Despott (ORCID: https://orcid.org/0000-0001-6311-3692)
- Takaaki Morikawa (ORCID: https://orcid.org/0000-0002-9051-0519)
- Hisashi Fukuda (ORCID: https://orcid.org/0000-0002-0294-4676)
- Hironori Yamamoto (ORCID: https://orcid.org/0000-0002-3601-1153)
- Alberto Murino (ORCID: https://orcid.org/0000-0002-8408-1324)
- Hiroaki Ishii (ORCID: https://orcid.org/0000-0002-5184-8939)
Institutions
- Jichi Medical University (JP)
- The Royal Free Hospital (GB)
- Cleveland Clinic London (GB)
- University College London (GB)
Publication Details
- Journal
- VideoGIE
- Published
- 2024-10-11
- DOI
- https://doi.org/10.1016/j.vgie.2024.10.002
- Citations
- 6
- Primary Topic
- Gastric Cancer Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.51
Funders
- Jichi Medical University