The median diameter of CD-tract was
www.selleckchem.com/products/chir-99021-ct99021-hcl.html 2.87 (2.54–3.14) mm, and was negatively correlated with electric output. In vertical section, the tract seemed to be covered with coagulated tissue in CD-case with low output, though coagulation was intermittently observed in high output cases. 2) Leakage of water was not observed in MD-tract, but it was observed in 2/10 (20%) of 3 cm segment and 10/10 (100%) of 1 cm segment in CD-tract. Conclusion: The influence of CD was larger than that of MD. They have to be selected in different procedures. Key Word(s): 1. cautery dilator; 2. EUS-guided biliary drainage Presenting Author: YUKINORI YOSHII Additional Authors: YU TAKAHASHI, YUUKI IWATA, MINORU TAKEDA, YASUSHI MATSUMOTO, NOBUMITSU MIYASAKA, TAKASHI OKAZAKI, MASAAKI NOMURA, TAKAYUKI MATSUMOTO Corresponding Author: YU TAKAHASHI Affiliations: Kayashimaikuno Hospital, Saiseikai Izuo Hospital, Saiseikai Izuo Hospital, Saiseikai Izuo Hospital, Saiseikai Izuo Hospital, Kayashimaikuno Hospital, Saiseikai Izuo Hospital, Saiseikai Izuo Hospital Objective: We have often experienced a situation that effective counter traction is required for Endoscopic Submucosal Dissection. If you
can pull the target lesion, good counter traction can be made. The “clip with line” method is a simple and useful method to make counter traction during ESD. This method was ABT-737 reported in 2002. We have also used it for gastric Non-specific serine/threonine protein kinase carcinoma. Especially, it is useful for the greater curvature or posterior wall of the middle body of the stomach. We could carried out more safety and effective ESD, by applying good counter traction to use it. Methods: We showed two typical
cases used this method, to compare which side of the lesion is effective position to put a clip for treating ESD of gastric cancer at the greater curvature posterior wall of the middle body of the stomach. Case 1- we put a clip at the anal side of the lesion by look up operation. Case 2, we put a clip at the oral side by look down operation. Results: In case 1, the approach toward the submucosal layer got easier. However, this caused excessive tension of pulling the string. We have often experienced the clip comes off. In case 2, this method led visibility of the layer more clear significantly, and easier to complete the submucosal dissection than case 1. We could smoothly operate, because the counter traction was more stable. By comparing case1 and case 2, the method of putting the clip at the oral side was more effective. Case 2 makes ESD more safety and the duration of procedure shorter. Conclusion: We present the two cases, and show the “clip with line” method for treating early gastric corpus cancer. Key Word(s): 1. ESD; 2. stomach; 3.