Publications by authors named "F Kawara"
Article Synopsis
- - The study develops a risk-scoring system to identify patients who may need additional hospital-specific care (HIC) after undergoing a procedure called peroral endoscopic myotomy (POEM) for esophageal issues.
- - It analyzed data from 589 patients over eight years, finding that 8.5% experienced HIC, with four key factors included in the scoring: age, nutritional status, surgical site complications, and pneumonia.
- - The scoring system showed strong predictive ability and is useful for optimizing patient discharge decisions post-surgery.
Background: Repeat endoscopic submucosal dissection for metachronous recurrence of esophageal squamous cell carcinoma close to previous endoscopic submucosal dissection scars is challenging. Therefore, this study evaluated the efficacy and safety of repeat endoscopic submucosal dissection for recurrent esophageal squamous cell carcinoma.
Methods: The study included 1680 patients.
Article Synopsis
- EndoTrac is a new traction device designed to improve the control during endoscopic submucosal dissection (ESD) for gastric tumors, though its effectiveness is still under investigation.
- The G-Trac study is a multicenter trial in Japan that compares conventional ESD with EndoTrac ESD, enrolling patients with superficial gastric neoplasms and measuring outcomes like procedure time and safety.
- The study has received ethical approval and will share its findings through academic platforms, aiming to involve 142 participants for robust statistical analysis.
Background And Aims: Perforation during esophageal endoscopic submucosal dissection (ESD) typically results from electrical damage. However, there are cases in which perforation occurs because of segmental absence of intestinal musculature (SAIM) without iatrogenic muscular injury. We investigated the occurrence rate and clinical course of SAIM during esophageal ESD.
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- This study aimed to identify factors that predict the technical difficulty of endoscopic submucosal dissection (ESD) for superficial esophageal squamous cell carcinoma (ESCC), especially in patients with different lesion types.
- The research was conducted across 10 hospitals in Japan, analyzing data from 1,505 patients after excluding certain lesions and defining "difficult lesions" based on criteria like long procedure time and complications.
- Key predictive factors found for ESD difficulty included the presence of varices or diverticulum, antiplatelet medication, tumor size and circumference, as well as the experience level of the surgeon and the center's patient volume.