The clinical efficacy of "water-jet" hemostasis in gastrointestinal endoscopic submucosal dissection.

Gastroenterol Rep (Oxf)

Department of Gastroenterology, Xiamen Humanity Hospital, Fujian Medical University, Xiamen, Fujian, P. R. China.

Published: September 2024

AI Article Synopsis

  • - This study investigates the safety and effectiveness of the "water-jet" hemostasis technique during endoscopic submucosal dissection in patients with gastric or intestinal lesions.
  • - Conducted at Fujian Medical University, the study analyzed 10 patients aged 18-60 and found no adverse events, with successful hemostasis and R0 resection achieved in all cases.
  • - The findings suggest that the "water-jet" method is a safe and practical option for controlling bleeding in this type of endoscopic procedure.

Article Abstract

Objective: This study aims to evaluate the safety and efficacy of "water-jet" hemostasis during endoscopic submucosal dissection.

Methods: In this prospective single-arm clinical study, 10 patients aged 18-60 years with gastric or intestinal mucosal lesions who were admitted to Fujian Medical University Xiamen Humanity Hospital (Xiamen, P. R. China) between June 2022 and June 2023 and met the absolute indications for endoscopic treatment were finally analyzed. The primary outcomes of this study are the incidence rates of adverse events and R0 resection, and the secondary outcomes are length of hospital stay and short- and long-term outcomes.

Results: Successful hemostasis was achieved in all the included cases. In one case, the "water-jet" hemostasis failed to stop bleeding in one blood vessel, so the hemostatic forceps were used instead. No adverse events occurred in all cases. Pathologic results showed R0 resection in all samples.

Conclusion: The "water-jet" method is safe and feasible for hemostasis in endoscopic submucosal dissection.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427691PMC
http://dx.doi.org/10.1093/gastro/goae088DOI Listing

Publication Analysis

Top Keywords

"water-jet" hemostasis
12
endoscopic submucosal
12
efficacy "water-jet"
8
submucosal dissection
8
hemostasis endoscopic
8
adverse events
8
hemostasis
5
clinical efficacy
4
"water-jet"
4
hemostasis gastrointestinal
4

Similar Publications

Background: Despite accumulating evidence and recommendations for management of colonic diverticular bleeding (CDB), the changes in its clinical management and outcomes remain unknown.

Methods: We performed a retrospective tendency analysis on a biennial basis, a propensity score-matched cohort study between the first and latter half groups, and mediation analyses to compare the diagnostic and treatment methods between January 2010 and December 2019 (CODE BLUE-J Study).

Results: A total of 6575 patients with CDB were included.

View Article and Find Full Text PDF

[AQUABLATION OF THE PROSTATE - A NOVEL ROBOTIC PROCEDURE FOR THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA].

Harefuah

July 2024

Department of Urology, Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Article Synopsis
  • Aquablation is a new robotic-assisted procedure using ultrasound and water jets to treat benign prostatic hyperplasia (BPH), aiming to assess its efficiency and safety.
  • A retrospective analysis of 50 patients revealed successful surgeries with no intra-operative complications, a median surgery time of 51 minutes, and minimal change in hemoglobin levels.
  • The procedure led to a significant improvement in urinary symptoms and quality of life, with most patients showing stable functional outcomes and none reporting significant urinary incontinence post-surgery.
View Article and Find Full Text PDF

The clinical efficacy of "water-jet" hemostasis in gastrointestinal endoscopic submucosal dissection.

Gastroenterol Rep (Oxf)

September 2024

Department of Gastroenterology, Xiamen Humanity Hospital, Fujian Medical University, Xiamen, Fujian, P. R. China.

Article Synopsis
  • - This study investigates the safety and effectiveness of the "water-jet" hemostasis technique during endoscopic submucosal dissection in patients with gastric or intestinal lesions.
  • - Conducted at Fujian Medical University, the study analyzed 10 patients aged 18-60 and found no adverse events, with successful hemostasis and R0 resection achieved in all cases.
  • - The findings suggest that the "water-jet" method is a safe and practical option for controlling bleeding in this type of endoscopic procedure.
View Article and Find Full Text PDF

Purpose Of Review: This review is focused on diagnostic and management strategies for colonic diverticular bleeding (CDB). It aims to present the current state of the field, highlighting the available techniques, and emphasizing findings that influence the choice of therapy.

Recent Findings: Recent guidelines recommend nonurgent colonoscopy (>24 h) for CDB.

View Article and Find Full Text PDF

Background And Objective: Aquablation is included in the European Association Urology guidelines as an alternative surgical technique for prostate resection. The evidence summary states that it is subjectively and objectively as effective as transurethral resection of the prostate (TURP) and enucleation, but concerns remain regarding postoperative bleeding. Our aim was to provide an evidence-based overview of the trials, triumphs, and technical challenges of Aquablation.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!