Primary study of endoscopic submucosal dissection with magnetic anchor technique for early esophageal cancer

doi:10.3877/cma.j.issn.2095-7157.2020.03.007

Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition) ›› 2020, Vol. 07 ›› Issue (03): 134-136. doi: 10.3877/cma.j.issn.2095-7157.2020.03.007

Special Issue: ；

• Original Article • Previous Articles Next Articles

Primary study of endoscopic submucosal dissection with magnetic anchor technique for early esophageal cancer

Wengang Zhang¹, Yichao Chai², Shengzhen Liu¹, Enqiang Linghu¹^,^†(), Ningli Chai¹^,^†()

^1. Department of Gastroenterology and Hepatology, First Medical Center of Chinese PLA General Hospital, 100853 Beijing, China
^2. Department of Oncology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xian 710061, China

Received:2020-08-06 Online:2020-08-15 Published:2020-08-15
Contact: Enqiang Linghu, Ningli Chai
About author:
Corresponding author: Chai Ningli, Email: chainingli@vip.163.com;
Linghu Enqiang, Email: linghuenqiang@vip.sina.com

Abstract

Abstract:

Objective

Endoscopic submucosal dissection (ESD) has become an established method for superficial neoplasm in digestive tract. However, there existed challenges in the procedures of ESD for superficial esophageal squamous cell neoplasm because of the narrow space. This study aimed to determine the feasibility and effectiveness of ESD with magnetic anchor technique (MAT) for superficial esophageal squamous cell neoplasm.

Method

Between April 2020 and June 2020, a total of 5 patients with superficial esophageal squamous cell neoplasm underwent ESD with MAT in our center, and related data was collected prospectively.

Results

For the five procedures of ESD with MAT, both complete dissection and en bloc resection rates were 100%, and R0 resection rate was 80%. No serous adverse events were encountered.

Conclusion

ESD with MAT was effective and feasible for superficial esophageal squamous cell neoplasm although further studies with larger sample size were needed.

Key words: Esophageal squamous cell neoplasms, Endoscopic submucosal dissection, Magnetic anchor technique

Wengang Zhang, Yichao Chai, Shengzhen Liu, Enqiang Linghu, Ningli Chai. Primary study of endoscopic submucosal dissection with magnetic anchor technique for early esophageal cancer[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2020, 07(03): 134-136.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhwcnjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-7157.2020.03.007

https://zhwcnjdzzz.cma-cmc.com.cn/EN/Y2020/V07/I03/134

Figures/Tables 3

References 6

[1]	Bhatt A, Abe S, Kumaravel A，et al. Indications and Techniques for Endoscopic Submucosal Dissection[J]．Am J gastroenterol，2015，110(6)：784-791.
[2]	Yamasaki Y, Takeuchi Y, Uedo N，et al. Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study[J]. Endosc Internat Open，2016，4(1)：E51-55.
[3]	中华医学会消化内镜学分会消化系早癌内镜诊断与治疗协作组. 中国早期食管鳞状细胞癌及癌前病变筛查与诊治共识(2015年，北京)[J]．中华内科杂志，2016，55(1)：73-85.
[4]	张勇，熊力，李奇灵，等. 磁锚定技术及其临床应用[J]．科学通报，2020，65(13)：1274-1282.
[5]	Gotoda T, Oda I, Tamakawa K，et al. Prospective clinical trial of magnetic-anchor-guided endoscopic submucosal dissection for large early gastric cancer (with videos) [J]. Gastrointest Endosc，2009，69(1)：10-15.
[6]	Matsuzaki I, Hattori M, Hirose K，et al. Magnetic anchor-guided endoscopic submucosal dissection for gastric lesions (with video)[J]. Gastrointest Endosc，2018，87(6)：1576-1580.

序号	性别	年龄(岁)	病变长度(cm)	环周程度
1	女	68	3	2/3
2	女	67	4	4/5
3	男	54	6	1/2
4	男	54	2.5	1/3
5	女	65	2.5	1/3

序号	性别	年龄(岁)	病变长度(cm)	环周程度
1	女	68	3	2/3
2	女	67	4	4/5
3	男	54	6	1/2
4	男	54	2.5	1/3
5	女	65	2.5	1/3

[1]	Bo Chen, Chao Peng, Xiaohui Tan, Guozhong Wang, Yuanmao Tu. The safety and efficacy of ESD in the treatment of non-ampullary duodenal laterally spreading tumors [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(02): 222-225.
[2]	Jianqiang Guo, Yanjie Niu, Bin Zhou, Hui Wang. Study on the clinical effect of different stripping and traction assisted ESD in the treatment of early esophageal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(06): 628-630.
[3]	Hui Li, Enqiang Linghu, Longsong Li, Jingyuan Xiang, Hong Du, Ping Tang, Ningli Chai. Comparison of long-term efficacy of endoscopic submucosal dissection and surgical resection for early gastric stump cancer [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(05): 283-287.
[4]	Jie Tao, Miaomiao Zhang, Lei Du. Laparoscopic resection of left lateral lobe with magnetic anchor technique for hepatic hemangioma: report of one case [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2022, 11(04): 416-418.
[5]	Xiaopeng Yan, Miaomiao Zhang, Dong Zhang. Magnetic anchor technique assisted laparoscopes left hepatectomy: report of one case [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2022, 11(02): 203-205.
[6]	Jigang Bai, Yi Lin, Bo Liu, Liwei Zhang, Yixing Li, Qian Fan, Lin Ji, Bixin Yu, Yanfeng Lu, Adali Zhupaer, Jianzhong Sun, Yong Zhang, Yi Lyu, Xiaopeng Yan. Experimental study of magnetic anchor technique assisted reduced-port laparoscopic cholecystectomy [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2020, 09(05): 484-487.
[7]	Chao Hou, Meichen Pan, Wenming Wu, Xingguang Huang, Xiang Li, Lingxue Cheng, Yuxuan Zhu, Wenbo Li. Risk factors of esophageal stricture after endoscopic submucosal dissection for early esophageal carcinoma and intraepithelial neoplasia [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 383-387.
[8]	Han Liu, Hui Li, Yuxin Zhu, Miao Yu, Wanying Li, Shuang Wang, Yuzhu Di, Dandan Ning, Bo Qu. Application of novel biomaterials in endoscopic submucosal dissection [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(03): 167-171.
[9]	Lei Chen, Lu Wang, Haihang Zhu, Sujun Gao, Jian Yin, Li Zhang, Wei Lu, Di Chen, Zhen Zhu. Risk factors associated with difficult endoscopic submucosal dissection for superficial esophageal lesions [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2020, 10(06): 256-261.
[10]	Li Wang, Fan Fan, Guodong Chen, Yulan Liu, Liming Zhang. Short- and long-term outcomes of endoscopic submucosal dissection for early gastric cancer and characteristics of early cardiac gastric cancer [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(02): 105-111.
[11]	Xiufan Ni, Lei Chen, Jian Yin, Li Zhang, Sujun Gao, Zhen Zhu. Clinical study of different endoscopic resection methods in the treatment of rectal neuroendocrine tumors [J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(03): 173-179.
[12]	Youhong Cao, Yimin Ma, Kangwei Zhang, Lingchao Kong, Tian Xu, Yiming Xing, Qizhu Lü, Yunfang Jiang, Guifang Xu. Efficacy and safety analysis of CS-EMR in the treatment of rectal neuroendocrine tumors [J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(01): 41-45.
[13]	Yong Wu, Tong Dang, Xianmei Meng, Zhenyu Jiang, Jing Wang, Jingjie Zhang, Yi Zhou, Yuanyuan Nian. Retrospective analysis of neuroendocrine tumors in Baotou inner mongolia [J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2021, 08(03): 111-114.
[14]	Liang Ding, Wei Chen, Jinghua Yu, Fenming Zhang, Guoqiang Xu. Evaluation of intraoperative bleeding grading and related factors of ESD treatment for early gastric cancer [J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2021, 08(02): 51-56.
[15]	Mizhu Wang, Xianmei Meng, Tong Dang. Clinical Study of endoscopic submucosal dissection in the treatment with lateral colorectal polyps [J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2020, 07(04): 186-189.

Please choose a citation manager

Content to export

Primary study of endoscopic submucosal dissection with magnetic anchor technique for early esophageal cancer

RichHTML

PDF (PC)

Knowledge

Cited

Abstract

Cite this article

share this article

Figures/Tables 3

References 6

Related Articles 15

Recommended Articles

Metrics

Comments

模态框（Modal）标题

Please choose a citation manager

Content to export

Primary study of endoscopic submucosal dissection with magnetic anchor technique for early esophageal cancer

RichHTML

PDF (PC)

Knowledge

Cited

Abstract

Cite this article

share this article

Figures/Tables 3

References 6

Related Articles 15

Recommended Articles

Metrics

Comments