Publications by authors named "Hideyuki Takashiro"

Article Synopsis
  • The early clip-with-line (ECL) method was developed to improve visualization during colorectal endoscopic submucosal dissection (ESD) by starting traction immediately after injecting sodium hyaluronate, instead of waiting until after a mucosal flap is created.
  • A study compared 41 colorectal ESD cases, 27 using traditional methods and 14 using ECL, showing that ECL significantly reduced procedure time (66 minutes vs. 90 minutes) without increasing risk of perforation.
  • The findings suggest that the ECL method is effective and safe, making ESD procedures faster and potentially less risky.
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 As a newly developed endoscopy technique, linked color imaging (LCI) provides very bright images with enhanced color tones. With the objective of improving the detection rate of gastric mucosal cancers, which are often difficult to detect, we examined the utility of LCI from the viewpoint of visibility.  The current study used 100 consecutive gastric mucosal cancers ≤ 20 mm in diameter.

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Purpose: To examine the usefulness of non-magnified close observation with blue laser imaging (BLI) using a colonoscope with close observation capability in determining indications for cold polypectomy.

Methods: We conducted an image evaluation study on 100 consecutive colorectal lesions of 10 mm or less which were observed endoscopically without magnification using BLI mode prior to treatment. Two experts and two non-experts reviewed the images using the Japan NBI expert team (JNET) classification and the diagnostic accuracy was analyzed.

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Background: The treatment results of endoscopic submucosal dissection (ESD) for colorectal lesions have improved markedly, but some lesions remain difficult to treat. Hence the cecum is considered a technically challenging site for ESD. We examined the feasibility of ESD for cecal lesions.

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Background And Study Aims: Magnifying linked color imaging with indigo carmine dye (M-Chromo-LCI) enables sterically enhanced and color image-magnified observation of the superficial gastric mucosa. This study investigated the usefulness of M-Chromo-LCI for the differential diagnosis of gastric lesions.

Patients And Methods: 100 consecutive small depressed lesions were examined with conventional white-light imaging (C-WLI), magnifying blue-laser imaging (M-BLI), and M-Chromo-LCI.

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Background And Aims: As a newly developed image-enhanced endoscopy (IEE) technique, linked-color imaging (LCI) provides very bright images with enhanced color tones. With the objective of improving the detection rate of colorectal flat tumor lesions, which are difficult to detect, we examined the usefulness of LCI from the viewpoint of visibility.

Methods: Fifty-three consecutive nongranular flat tumors were used in this study.

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