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DOI: 10.1055/s-2003-43471
Endoscopic Mucosal Resection of Superficially Spreading Colonic Neoplasms Larger Than 5 cm in the Right Colon After Injection of Dilute Sodium Hyaluronate: Report of Two Cases
Publikationsverlauf
                     Submitted 13 September 2002
                     
                     Accepted after Revision 25 March 2003
                     
Publikationsdatum:
07. November 2003 (online)
Submucosal injection is the most important procedure for the safe performance of endoscopic mucosal resection in the large intestine while avoiding the risk of perforation. We used dilute sodium hyaluronate containing Bosmin and achieved safe piecemeal resection of large superficial tumors in the right colon in two patients. Piecemeal snare resection is considered to be acceptable if all the tissue pieces can be collected for histopathological diagnosis.
References
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 - 2 Yamamoto H, Koiwai H, Yube T. et al . A successful single-step endoscopic mucosal resection of a 40 millimeter flat-elevated tumor in the rectum: endoscopic mucosal resection using sodium hyaluronate. Gastrointest Endosc. 1999; 50 701-704
 - 3 Yamamoto H. Endoscopic mucosal resection using sodium hyaluronate; EMRSH. Clin Gastroenterol. 2001; 16 375-380 [In Japanese]
 - 4 Mukai M, Iwase H, Himeno S. et al . Novel approach of endoscopic colorectal mucosal resection using a three-channel outer tube and multiple forceps: an experimental assessment. Endoscopy. 2001; 33 253-256
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M. Mukai,M.D. 
         Department of Surgery · Tokai University Oiso Hospital
         
         Gakyou 21-1, Oiso · Kanagawa 259 - 0198 · Japan
         
         Fax: +81-463-722256
         
         eMail: colorectalmasaya@yahoo.co.jp
         
         
    
      
    