Clin Endosc.  2017 May;50(3):242-249. 10.5946/ce.2017.073.

Future Development of Endoscopic Accessories for Endoscopic Submucosal Dissection

• Jang JY

• KMID: 2388820
• DOI: http://doi.org/10.5946/ce.2017.073

Abstract

Endoscopic submucosal dissection (ESD) has recently been accepted as a standard treatment for patients with early gastric cancer (EGC), without lymph node metastases. Given the rise in the number of ESDs being performed, new endoscopic accessories are being developed and existing accessories modified to facilitate the execution of ESD and reduce complication rates. This paper examines the history underlying the development of these new endoscopic accessories and indicates future directions for the development of these accessories.

Keyword

Early gastric cancer; Endoscopic submucosal dissection; Endoscopy; Accessory

MeSH Terms

Endoscopy
Humans
Lymph Nodes
Neoplasm Metastasis
Stomach Neoplasms

Figure

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  Fig. 1. GIF-2TQ260M (Olympus Medical Systems Corp., Tokyo, Japan). Second bending section overcomes some of the limitations of flexibility inherent with standard endoscopes when approaching anatomically difficult lesions for endoscopic submucosal dissection (ESD).

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  Fig. 2. EndoLifter (LA-201; Olympus Medical Systems Corp., Tokyo, Japan). Traction applied with the external forceps can elevate the lesion and make the submucosal layer wider and more visible.

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  Fig. 3. The slave manipulator of the master and slave transluminal endoscopic robot (MASTER) system.

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