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BioMed Research International
Volume 2014, Article ID 925058, 12 pages
http://dx.doi.org/10.1155/2014/925058
Review Article

Current Innovations in Endoscopic Therapy for the Management of Colorectal Cancer: From Endoscopic Submucosal Dissection to Endoscopic Full-Thickness Resection

1Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan
2Department of Gastroenterological Surgery, KKR Takamatsu Hospital, Kagawa, Japan

Received 30 January 2014; Revised 11 April 2014; Accepted 14 April 2014; Published 30 April 2014

Academic Editor: Hirotoshi Kobayashi

Copyright © 2014 Shintaro Fujihara et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. Y. Saito, M. Fukuzawa, T. Matsuda et al., “Clinical outcome of endoscopic submucosal dissection versus endoscopic mucosal resection of large colorectal tumors as determined by curative resection,” Surgical Endoscopy, vol. 24, no. 2, pp. 343–352, 2010. View at Publisher · View at Google Scholar · View at Scopus
  2. Y. Saito, T. Uraoka, Y. Yamaguchi et al., “A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video),” Gastrointestinal Endoscopy, vol. 72, no. 6, pp. 1217–1225, 2010. View at Publisher · View at Google Scholar · View at Scopus
  3. Y. Kopelman, P. D. Siersema, A. Bapaye, and D. Kopelman, “Endoscopic full-thickness GI wall resection: current status,” Gastrointestinal Endoscopy, vol. 75, no. 1, pp. 165–173, 2012. View at Publisher · View at Google Scholar · View at Scopus
  4. S. Tanaka, S. Oka, I. Kaneko et al., “Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization,” Gastrointestinal Endoscopy, vol. 66, no. 1, pp. 100–107, 2007. View at Publisher · View at Google Scholar · View at Scopus
  5. S. Tanaka, Y. Tamegai, S. Tsuda, Y. Saito, N. Yahagi, and H.-O. Yamano, “Multicenter questionnaire survey on the current situation of colorectal endoscopic submucosal dissection in Japan,” Digestive Endoscopy, vol. 22, supplement s1, pp. S2–S8, 2010. View at Publisher · View at Google Scholar · View at Scopus
  6. N. Yahagi, M. Fujishiro, and M. Omata, “Endoscopic submucosal dissection of colorectal lesion,” Digestive Endoscopy, vol. 16, supplement s2, pp. S178–S181, 2004. View at Publisher · View at Google Scholar · View at Scopus
  7. M. Fujishiro, N. Yahagi, N. Kakushima et al., “Outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms in 200 consecutive cases,” Clinical Gastroenterology and Hepatology, vol. 5, no. 6, pp. 678–683, 2007. View at Publisher · View at Google Scholar · View at Scopus
  8. T. Uraoka, Y. Kawahara, J. Kato, Y. Saito, and K. Yamamoto, “Endoscopic submucosal dissection in the colorectum: present status and future prospects,” Digestive Endoscopy, vol. 21, supplement s1, pp. S13–S16, 2009. View at Publisher · View at Google Scholar · View at Scopus
  9. N. Kobayashi, Y. Saito, T. Uraoka, T. Matsuda, H. Suzuki, and T. Fujii, “Treatment strategy for laterally spreading tumors in Japan: before and after the introduction of endoscopic submucosal dissection,” Journal of Gastroenterology and Hepatology, vol. 24, no. 8, pp. 1387–1392, 2009. View at Publisher · View at Google Scholar · View at Scopus
  10. Y. Saito, H. Kawano, Y. Takeuchi et al., “Current status of colorectal endoscopic submucosal dissection in Japan and other Asian countries: progressing towards technical standardization,” Digestive Endoscopy, vol. 24, supplement s1, pp. 67–72, 2012. View at Publisher · View at Google Scholar · View at Scopus
  11. S. Tanaka, S. Oka, and K. Chayama, “Colorectal endoscopic submucosal dissection: present status and future perspective, including its differentiation from endoscopic mucosal resection,” Journal of Gastroenterology, vol. 43, no. 9, pp. 641–651, 2008. View at Publisher · View at Google Scholar · View at Scopus
  12. S. Tanaka, M. Terasaki, N. Hayashi, S. Oka, and K. Chayama, “Warning for unprincipled colorectal endoscopic submucosal dissection: accurate diagnosis and reasonable treatment strategy,” Digestive Endoscopy, vol. 25, no. 2, pp. 107–116, 2013. View at Publisher · View at Google Scholar
  13. H. Isomoto, H. Nishiyama, N. Yamaguchi et al., “Clinicopathological factors associated with clinical outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms,” Endoscopy, vol. 41, no. 8, pp. 679–683, 2009. View at Publisher · View at Google Scholar · View at Scopus
  14. A. Matsumoto, S. Tanaka, S. Oba et al., “Outcome of endoscopic submucosal dissection for colorectal tumors accompanied by fibrosis,” Scandinavian Journal of Gastroenterology, vol. 45, no. 11, pp. 1329–1337, 2010. View at Publisher · View at Google Scholar · View at Scopus
  15. N. Matsui, K. Akahoshi, K. Nakamura, E. Ihara, and H. Kita, “Endoscopic submucosal dissection for removal of superficial gastrointestinal neoplasms: a technical review,” World Journal of Gastrointestinal Endoscopy, vol. 4, no. 4, pp. 123–136, 2012. View at Publisher · View at Google Scholar
  16. Y. Tamegai, Y. Saito, N. Masaki et al., “Endoscopic submucosal dissection: a safe technique for colorectal tumors,” Endoscopy, vol. 39, no. 5, pp. 418–422, 2007. View at Publisher · View at Google Scholar · View at Scopus
  17. D. P. Hurlstone, R. Atkinson, D. S. Sanders, M. Thomson, S. S. Cross, and S. Brown, “Achieving R0 resection in the colorectum using endoscopic submucosal dissection,” British Journal of Surgery, vol. 94, no. 12, pp. 1536–1542, 2007. View at Publisher · View at Google Scholar · View at Scopus
  18. P.-H. Zhou, L.-Q. Yao, and X.-Y. Qin, “Endoscopic submucosal dissection for colorectal epithelial neoplasm,” Surgical Endoscopy, vol. 23, no. 7, pp. 1546–1551, 2009. View at Publisher · View at Google Scholar · View at Scopus
  19. Y. Saito, T. Sakamoto, S. Fukunaga, T. Nakajima, S. Kuriyama, and T. Matsuda, “Endoscopic submucosal dissection (ESD) for colorectal tumors,” Digestive Endoscopy, vol. 21, supplement s1, pp. S7–S12, 2009. View at Publisher · View at Google Scholar · View at Scopus
  20. H. Iizuka, S. Okamura, Y. Onozato, H. Ishihara, S. Kakizaki, and M. Mori, “Endoscopic submucosal dissection for colorectal tumors,” Gastroenterologie Clinique et Biologique, vol. 33, no. 10-11, pp. 1004–1011, 2009. View at Publisher · View at Google Scholar · View at Scopus
  21. K. Hotta, T. Oyama, T. Shinohara et al., “Learning curve for endoscopic submucosal dissection of large colorectal tumors,” Digestive Endoscopy, vol. 22, no. 4, pp. 302–306, 2010. View at Publisher · View at Google Scholar · View at Scopus
  22. K. Niimi, M. Fujishiro, S. Kodashima et al., “Long-term outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms,” Endoscopy, vol. 42, no. 9, pp. 723–729, 2010. View at Publisher · View at Google Scholar · View at Scopus
  23. N. Yoshida, Y. Naito, M. Kugai et al., “Efficient hemostatic method for endoscopic submucosal dissection of colorectal tumors,” World Journal of Gastroenterology, vol. 16, no. 33, pp. 4180–4186, 2010. View at Publisher · View at Google Scholar · View at Scopus
  24. T. Toyonaga, M. Man-i, R. Chinzei et al., “Endoscopic treatment for early stage colorectal tumors: the comparison between EMR with small incision, simplified ESD, and ESD using the standard flush knife and the ball tipped flush knife,” Acta Chirurgica Iugoslavica, vol. 57, no. 3, pp. 41–46, 2010. View at Google Scholar · View at Scopus
  25. T. Uraoka, R. Higashi, J. Kato et al., “Colorectal endoscopic submucosal dissection for elderly patients at least 80 years of age,” Surgical Endoscopy, vol. 25, no. 9, pp. 3000–3007, 2011. View at Publisher · View at Google Scholar · View at Scopus
  26. T. Shono, K. Ishikawa, Y. Ochiai et al., “Feasibility of endoscopic submucosal dissection: a new technique for en bloc resection of a large superficial tumor in the colon and rectum,” International Journal of Surgical Oncology, vol. 2011, Article ID 948293, 6 pages, 2011. View at Publisher · View at Google Scholar
  27. E. S. Kim, K. B. Cho, K. S. Park et al., “Factors predictive of perforation during endoscopic submucosal dissection for the treatment of colorectal tumors,” Endoscopy, vol. 43, no. 7, pp. 573–578, 2011. View at Publisher · View at Google Scholar · View at Scopus
  28. E.-J. Lee, J. B. Lee, Y. S. Choi et al., “Clinical risk factors for perforation during endoscopic submucosal dissection (ESD) for large-sized, nonpedunculated colorectal tumors,” Surgical Endoscopy, vol. 26, no. 6, pp. 1587–1594, 2011. View at Publisher · View at Google Scholar · View at Scopus
  29. A. Probst, D. Golger, M. Anthuber, B. Märkl, and H. Messmann, “Endoscopic submucosal dissection in large sessile lesions of the rectosigmoid: learning curve in a European center,” Endoscopy, vol. 44, no. 7, pp. 660–667, 2012. View at Publisher · View at Google Scholar · View at Scopus
  30. K. Okamoto, S. Kitamura, N. Muguruma et al., “Mucosectom2-short blade for safe and efficient endoscopic submucosal dissection of colorectal tumors,” Endoscopy, vol. 45, no. 11, pp. 928–930, 2013. View at Publisher · View at Google Scholar
  31. Y. Nawata, K. Homma, and Y. Suzuki, “Retrospective study of technical aspects and complications of endoscopic submucosal dissection for large superficial colorectal tumors,” Digestive Endoscopy, 2014. View at Publisher · View at Google Scholar
  32. S. Farhat, S. Chaussade, T. Ponchon et al., “Endoscopic submucosal dissection in a European setting. A multi-institutional report of a technique in development,” Endoscopy, vol. 43, no. 8, pp. 664–670, 2011. View at Publisher · View at Google Scholar · View at Scopus
  33. Y. Saito, T. Uraoka, T. Matsuda et al., “Endoscopic treatment of large superficial colorectal tumors: a case series of 200 endoscopic submucosal dissections (with video),” Gastrointestinal Endoscopy, vol. 66, no. 5, pp. 966–973, 2007. View at Publisher · View at Google Scholar · View at Scopus
  34. G. Jeong, J. H. Lee, M. K. Yu et al., “Non-surgical management of microperforation induced by EMR of the stomach,” Digestive and Liver Disease, vol. 38, no. 8, pp. 605–608, 2006. View at Publisher · View at Google Scholar · View at Scopus
  35. H. Liaquat, E. Rohn, and D. K. Rex, “Prophylactic clip closure reduced the risk of delayed postpolypectomy hemorrhage: experience in 277 clipped large sessile or flat colorectal lesions and 247 control lesions,” Gastrointestinal Endoscopy, vol. 77, no. 3, pp. 401–407, 2013. View at Publisher · View at Google Scholar
  36. S. Fujihara, H. Mori, H. Kobara et al., “The efficacy and safety of prophylactic closure for a large mucosal defect after colorectal endoscopic submucosal dissection,” Oncology Reports, vol. 30, no. 1, pp. 85–90, 2013. View at Google Scholar
  37. T. Toyonaga, M. Man-I, Y. Morita et al., “The new resources of treatment for early stage colorectal tumors: EMR with small incision and simplified endoscopic submucosal dissection,” Digestive Endoscopy, vol. 21, supplement s1, pp. S31–S37, 2009. View at Publisher · View at Google Scholar · View at Scopus
  38. M. Fujishiro, S. Kodashima, O. Goto et al., “Technical feasibility of endoscopic submucosal dissection of gastrointestinal epithelial neoplasms with a splash-needle,” Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 18, no. 6, pp. 592–597, 2008. View at Publisher · View at Google Scholar · View at Scopus
  39. Y. Takeuchi, N. Uedo, R. Ishihara et al., “Efficacy of an endo-knife with a water-jet function (Flushknife) for endoscopic submucosal dissection of superficial colorectal neoplasms,” The American Journal of Gastroenterology, vol. 105, no. 2, pp. 314–322, 2010. View at Publisher · View at Google Scholar · View at Scopus
  40. N. Yoshida, Y. Naito, K. Sakai et al., “Outcome of endoscopic submucosal dissection for colorectal tumors in elderly people,” International Journal of Colorectal Disease, vol. 25, no. 4, pp. 455–461, 2010. View at Publisher · View at Google Scholar · View at Scopus
  41. N. Yoshida, N. Yagi, Y. Naito, and T. Yoshikawa, “Safe procedure in endoscopic submucosal dissection for colorectal tumors focused on preventing complications,” World Journal of Gastroenterology, vol. 16, no. 14, pp. 1688–1695, 2010. View at Publisher · View at Google Scholar · View at Scopus
  42. K. Akahoshi, Y. Motomura, M. Kubokawa et al., “Endoscopic submucosal dissection of a rectal carcinoid tumor using grasping type scissors forceps,” World Journal of Gastroenterology, vol. 15, no. 17, pp. 2162–2165, 2009. View at Publisher · View at Google Scholar · View at Scopus
  43. K. Akahoshi, H. Akahane, A. Murata, H. Akiba, and M. Oya, “Endoscopic submucosal dissection using a novel grasping type scissors forceps,” Endoscopy, vol. 39, no. 12, pp. 1103–1105, 2007. View at Publisher · View at Google Scholar · View at Scopus
  44. H. Ikematsu, Y. Yoda, T. Matsuda et al., “Long-term outcomes after resection for submucosal invasive colorectal cancers,” Gastroenterology, vol. 144, no. 3, pp. 551–559, e514, 2013. View at Publisher · View at Google Scholar
  45. R. A. Cahill, S. Perretta, J. Leroy, B. Dallemagne, and J. Marescaux, “Lymphatic mapping and sentinel node biopsy in the colonic mesentery by natural orifice transluminal endoscopic surgery (NOTES),” Annals of Surgical Oncology, vol. 15, no. 10, pp. 2677–2683, 2008. View at Publisher · View at Google Scholar · View at Scopus
  46. R. A. Cahill, M. Asakuma, S. Perretta et al., “Supplementation of endoscopic submucosal dissection with sentinel node biopsy performed by natural orifice transluminal endoscopic surgery (NOTES) (with video),” Gastrointestinal Endoscopy, vol. 69, no. 6, pp. 1152–1160, 2009. View at Publisher · View at Google Scholar · View at Scopus
  47. N. Yoshida, N. Wakabayashi, K. Kanemasa et al., “Endoscopic submucosal dissection for colorectal tumors: technical difficulties and rate of perforation,” Endoscopy, vol. 41, no. 9, pp. 758–761, 2009. View at Publisher · View at Google Scholar · View at Scopus
  48. Y. S. Choi, J. B. Lee, E.-J. Lee et al., “Can endoscopic submucosal dissection technique be an alternative treatment option for a difficult giant (≥ 30 mm) pedunculated colorectal polyp?” Diseases of the Colon & Rectum, vol. 56, no. 5, pp. 660–666, 2013. View at Publisher · View at Google Scholar
  49. C. H. Park, J. H. Cheon, J. O. Kim et al., “Criteria for decision making after endoscopic resection of well-differentiated rectal carcinoids with regard to potential lymphatic spread,” Endoscopy, vol. 43, no. 9, pp. 790–795, 2011. View at Publisher · View at Google Scholar · View at Scopus
  50. D. S. Lee, S. W. Jeon, S. Y. Park et al., “The feasibility of endoscopic submucosal dissection for rectal carcinoid tumors: comparison with endoscopic mucosal resection,” Endoscopy, vol. 42, no. 8, pp. 647–651, 2010. View at Publisher · View at Google Scholar · View at Scopus
  51. H.-W. Park, J.-S. Byeon, Y. S. Park et al., “Endoscopic submucosal dissection for treatment of rectal carcinoid tumors,” Gastrointestinal Endoscopy, vol. 72, no. 1, pp. 143–149, 2010. View at Publisher · View at Google Scholar · View at Scopus
  52. H. Kobara, H. Mori, K. Rafiq et al., “Indications of endoscopic submucosal dissection for symptomatic benign gastrointestinal subepithelial or carcinoid tumors originating in the submucosa,” Molecular and Clinical Oncology, vol. 1, no. 6, pp. 1002–1008, 2013. View at Google Scholar
  53. M. O. Schurr, G. Buess, H. Raestrup et al., “Full thickness resection device (FTRD) for endoluminal removal of large bowel tumours: development of the instrument and related experimental studies,” Minimally Invasive Therapy & Allied Technologies, vol. 10, no. 6, pp. 301–309, 2001. View at Publisher · View at Google Scholar · View at Scopus
  54. E. Rajan, C. J. Gostout, L. J. Burgart et al., “First endoluminal system for transmural resection of colorectal tissue with a prototype full-thickness resection device in a porcine model,” Gastrointestinal Endoscopy, vol. 55, no. 7, pp. 915–920, 2002. View at Publisher · View at Google Scholar · View at Scopus
  55. G. S. Raju, A. Malhotra, and I. Ahmed, “Colonoscopic full-thickness resection of the colon in a porcine model as a prelude to endoscopic surgery of difficult colon polyps: a novel technique (with videos),” Gastrointestinal Endoscopy, vol. 70, no. 1, pp. 159–165, 2009. View at Publisher · View at Google Scholar · View at Scopus
  56. D. von Renteln, A. Schmidt, M. C. Vassiliou, H.-U. Rudolph, and K. Caca, “Endoscopic full-thickness resection and defect closure in the colon,” Gastrointestinal Endoscopy, vol. 71, no. 7, pp. 1267–1273, 2010. View at Publisher · View at Google Scholar · View at Scopus
  57. D. von Renteln, T. Kratt, T. Rösch, U. W. Denzer, and G. Schachschal, “Endoscopic full-thickness resection in the colon by using a clip-and-cut technique: an animal study,” Gastrointestinal Endoscopy, vol. 74, no. 5, pp. 1108–1114, 2011. View at Publisher · View at Google Scholar · View at Scopus
  58. E. Rieder, D. V. Martinec, C. M. Dunst, and L. L. Swanström, “A novel technique for natural orifice endoscopic full-thickness colon wall resection: an experimental pilot study,” Journal of the American College of Surgeons, vol. 213, no. 3, pp. 422–429, 2011. View at Publisher · View at Google Scholar · View at Scopus
  59. R. H. Kennedy, R. A. Cahill, P. Sibbons, and C. Fraser, “The “FLEX” procedure: a new technique for full-thickness laparo-endoscopic excision in the colon,” Endoscopy, vol. 43, no. 3, pp. 223–229, 2011. View at Publisher · View at Google Scholar · View at Scopus
  60. M. Picasso, A. Parodi, D. A. Fisher, S. Blanchi, and M. Conio, “Full thickness endoscopic resection of a colonic cancer: a case report,” Clinics and Research in Hepatology and Gastroenterology, vol. 37, no. 4, pp. e99–e101, 2013. View at Publisher · View at Google Scholar
  61. N. Hiki, Y. Yamamoto, T. Fukunaga et al., “Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor dissection,” Surgical Endoscopy, vol. 22, no. 7, pp. 1729–1735, 2008. View at Publisher · View at Google Scholar · View at Scopus
  62. H. Mori, H. Kobara, M. Kobayashi et al., “Establishment of pure NOTES procedure using a conventional flexible endoscope: review of six cases of gastric gastrointestinal stromal tumors,” Endoscopy, vol. 43, no. 7, pp. 631–634, 2011. View at Publisher · View at Google Scholar · View at Scopus
  63. A. Kirschniak, T. Kratt, D. Stüker, A. Braun, M.-O. Schurr, and A. Königsrainer, “A new endoscopic over-the-scope clip system for treatment of lesions and bleeding in the GI tract: first clinical experiences,” Gastrointestinal Endoscopy, vol. 66, no. 1, pp. 162–167, 2007. View at Publisher · View at Google Scholar · View at Scopus
  64. D. von Renteln, U. W. Denzer, G. Schachschal, M. Anders, S. Groth, and T. Rösch, “Endoscopic closure of GI fistulae by using an over-the-scope clip (with videos),” Gastrointestinal Endoscopy, vol. 72, no. 6, pp. 1289–1296, 2010. View at Publisher · View at Google Scholar · View at Scopus
  65. A. Repici, A. Arezzo, G. de Caro et al., “Clinical experience with a new endoscopic over-the-scope clip system for use in the GI tract,” Digestive and Liver Disease, vol. 41, no. 6, pp. 406–410, 2009. View at Publisher · View at Google Scholar · View at Scopus
  66. F. Iacopini, N. di Lorenzo, F. Altorio, M.-O. Schurr, and A. Scozzarro, “Over-the-scope clip closure of two chronic fistulas after gastric band penetration,” World Journal of Gastroenterology, vol. 16, no. 13, pp. 1665–1669, 2010. View at Publisher · View at Google Scholar · View at Scopus
  67. A. Parodi, A. Repici, A. Pedroni, S. Blanchi, and M. Conio, “Endoscopic management of GI perforations with a new over-the-scope clip device (with videos),” Gastrointestinal Endoscopy, vol. 72, no. 4, pp. 881–886, 2010. View at Publisher · View at Google Scholar · View at Scopus
  68. J. Pohl, M. Borgulya, D. Lorenz, and C. Ell, “Endoscopic closure of postoperative esophageal leaks with a novel over-the-scope clip system,” Endoscopy, vol. 42, no. 9, pp. 757–759, 2010. View at Publisher · View at Google Scholar · View at Scopus
  69. A. Kirschniak, N. Subotova, D. Zieker, A. Königsrainer, and T. Kratt, “The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas,” Surgical Endoscopy, vol. 25, no. 9, pp. 2901–2905, 2011. View at Publisher · View at Google Scholar · View at Scopus
  70. L. Seebach, P. Bauerfeind, and C. Gubler, “'Sparing the surgeon“: clinical experience with over-the-scope clips for gastrointestinal perforation,” Endoscopy, vol. 42, no. 12, pp. 1108–1111, 2010. View at Publisher · View at Google Scholar · View at Scopus
  71. N. Nishiyama, H. Mori, H. Kobara et al., “Efficacy and safety of over-the-scope clip: including complications after endoscopic submucosal dissection,” World Journal of Gastroenterology, vol. 19, no. 18, pp. 2752–2760, 2013. View at Publisher · View at Google Scholar
  72. D. von Renteln, A. Schmidt, M. C. Vassiliou, M. Gieselmann, and K. Caca, “Natural orifice transluminal endoscopic surgery gastrotomy closure with an over-the-endoscope clip: a randomized, controlled porcine study (with videos),” Gastrointestinal Endoscopy, vol. 70, no. 4, pp. 732–739, 2009. View at Publisher · View at Google Scholar · View at Scopus
  73. D. von Renteln, A. Schmidt, M. C. Vassiliou, H.-U. Rudolph, M. Gieselmann, and K. Caca, “Endoscopic closure of large colonic perforations using an over-the-scope clip: a randomized controlled porcine study,” Endoscopy, vol. 41, no. 6, pp. 481–486, 2009. View at Publisher · View at Google Scholar · View at Scopus
  74. H. Neumann, H. Diebel, K. Mönkemüller et al., “Description of a new, endoscopic technique to remove the over-the-scope-clip in an ex vivo porcine model (with video),” Gastrointestinal Endoscopy, vol. 76, no. 5, pp. 1009–1013, 2012. View at Publisher · View at Google Scholar
  75. A. Arezzo, A. Bullano, H. Fischer, and M. Morino, “The way to remove an over-the-scope-clip (with video),” Gastrointestinal Endoscopy, vol. 77, no. 6, pp. 974–975, 2013. View at Publisher · View at Google Scholar
  76. T. H. Baron, L. M. Song, A. Ross, J. L. Tokar, S. Irani, and R. A. Kozarek, “Use of an over-the-scope clipping device: multicenter retrospective results of the first U.S. experience (with videos),” Gastrointestinal Endoscopy, vol. 76, no. 1, pp. 202–208, 2012. View at Publisher · View at Google Scholar
  77. K. Mönkemüller, J. Toshniwal, M. Zabielski, K. Vormbrock, and H. Neumann, “Utility of the ” bear claw", or over-the-scope clip (OTSC) system, to provide endoscopic hemostasis for bleeding posterior duodenal ulcers,” Endoscopy, vol. 44, supplement 2, pp. E412–E413, 2012. View at Google Scholar
  78. M. Fähndrich, M. Sandmann, and M. Heike, “Removal of over the scope clips (OTSC) with an Nd:YAG laser,” Zeitschrift für Gastroenterologie, vol. 49, no. 5, pp. 579–583, 2011. View at Publisher · View at Google Scholar · View at Scopus
  79. P. W. Y. Chiu, B. Hu, J. Y. W. Lau, L. C. L. Sun, J. J. Y. Sung, and S. S. C. Chung, “Endoscopic plication of massively bleeding peptic ulcer by using the Eagle Claw VII device: a feasibility study in a porcine model,” Gastrointestinal Endoscopy, vol. 63, no. 4, pp. 681–685, 2006. View at Publisher · View at Google Scholar · View at Scopus
  80. B. Hu, S. C. S. Chung, L. C. L. Sun et al., “Eagle Claw II: a novel endosuture device that uses a curved needle for major arterial bleeding: a bench study,” Gastrointestinal Endoscopy, vol. 62, no. 2, pp. 266–270, 2005. View at Publisher · View at Google Scholar · View at Scopus
  81. S. V. Kantsevoy and P. J. Thuluvath, “Successful closure of a chronic refractory gastrocutaneous fistula with a new endoscopic suturing device (with video),” Gastrointestinal Endoscopy, vol. 75, no. 3, pp. 688–690, 2012. View at Publisher · View at Google Scholar · View at Scopus
  82. R. R. Watson, P. Jirapinyo, and C. C. Thompson, “Endoscopic repair of post- operative gastrointestinal fistulae using a novel endoscopic suturing device: technical feasibility and safety,” Gastroenterology, vol. 140, no. 5, supplement 1, pp. S–118, 2011. View at Publisher · View at Google Scholar
  83. S. V. Kantsevoy and M. Bitner, “Esophageal stent fixation with endoscopic suturing device (with video),” Gastrointestinal Endoscopy, vol. 76, no. 6, pp. 1251–1255, 2012. View at Publisher · View at Google Scholar
  84. P. Jirapinyo, R. R. Watson, and C. C. Thompson, “Use of a novel endoscopic suturing device to treat recalcitrant marginal ulceration (with video),” Gastrointestinal Endoscopy, vol. 76, no. 2, pp. 435–439, 2012. View at Publisher · View at Google Scholar
  85. E. Rieder, C. M. Dunst, D. V. Martinec, M. A. Cassera, and L. L. Swanstrom, “Endoscopic suture fixation of gastrointestinal stents: proof of biomechanical principles and early clinical experience,” Endoscopy, vol. 44, no. 12, pp. 1121–1126, 2012. View at Publisher · View at Google Scholar
  86. E. A. Bonin, L. M. W. K. Song, Z. S. Gostout, J. Bingener, and C. J. Gostout, “Closure of a persistent esophagopleural fistula assisted by a novel endoscopic suturing system,” Endoscopy, vol. 44, supplement 2, pp. E8–E9, 2012. View at Publisher · View at Google Scholar · View at Scopus
  87. H. Mori, H. Kobara, S. Fujihara et al., “Feasibility of pure EFTR using an innovative new endoscopic suturing device: the Double-arm-bar Suturing System (with video),” Surgical Endoscopy, vol. 28, no. 2, pp. 683–690, 2014. View at Publisher · View at Google Scholar
  88. H. Mori, H. Kobara, K. Rafiq et al., “New flexible endoscopic full-thickness suturing device: a triple-arm-bar suturing system,” Endoscopy, vol. 45, no. 8, pp. 649–654, 2013. View at Publisher · View at Google Scholar
  89. H. Mori, K. Rafiq, H. Kobara et al., “Innovative noninsufflation EFTR: sufficient endoscopic operative field by mechanical counter traction device,” Surgical Endoscopy, vol. 27, no. 8, pp. 3028–3034, 2013. View at Publisher · View at Google Scholar