Publications by authors named "Yuki Mitsuyoshi"

Background/aims: Endoscopic submucosal dissection (ESD) for residual or recurrent colorectal lesions after incomplete resection is challenging because of severe fibrosis. This study aimed to compare the efficacy of the pocket-creation method (PCM) with a traction device (TD) with that of conventional ESD for residual or recurrent colorectal lesions.

Methods: We retrospectively studied 72 patients with residual or recurrent colorectal lesions resected using ESD.

View Article and Find Full Text PDF

Background: Colorectal endoscopic submucosal dissection (ESD) requires advanced endoscopic skill. For safer and more reliable ESD implementation, various traction devices have been developed in recent years. The purpose of this research was to evaluate whether an ESD training program using a traction device (TD) would contribute to the improvement of trainees' skill acquisition.

View Article and Find Full Text PDF

Background: Colorectal endoscopic submucosal dissection (ESD) is technically demanding while ensuring safety, especially in cases with fibrosis and/or poor maneuverability. To overcome such difficulties, we developed a novel method called the pocket-creation method with a traction device (PCM with TD). We then evaluated the effectiveness and safety of PCM with TD in colorectal ESD compared to other conventional methods.

View Article and Find Full Text PDF
Article Synopsis
  • Chronic intestinal pseudo-obstruction (CIPO) and pneumatosis cystoides intestinalis (PCI) are rare digestive disorders often associated with systemic sclerosis (SSc), a collagen disease causing skin and organ changes.
  • A 68-year-old woman with well-managed SSc presented with abdominal fullness; imaging revealed PCI and CIPO, prompting a peristalsis evaluation via cine MRI.
  • Treatment with oral medications improved the patient's condition significantly, demonstrating that SSc can lead to both CIPO and PCI, and cine MRI is effective for assessing intestinal movement without needing surgery.
View Article and Find Full Text PDF