Open Access
CC BY 4.0 · Endosc Int Open 2025; 13: a27275056
DOI: 10.1055/a-2727-5056
VidEIO

Balloon occlusion method using a commercially available ileus tube during endoscopic full-thickness resection: Simple solution to gas leakage

Autoren

  • Haruhiro Inoue

    1   Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
  • Satoshi Abiko

    1   Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
    2   Department of Gastroenterology and Hepatology, Hokkaido University Hospital, Sapporo, Japan
  • Kei Ushikubo

    1   Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
  • Kazuki Yamamoto

    1   Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
  • Yohei Nishikawa

    1   Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
  • Ippei Tanaka

    1   Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
  • Naoya Sakamoto

    2   Department of Gastroenterology and Hepatology, Hokkaido University Hospital, Sapporo, Japan

Introduction

One of the major challenges in performing endoscopic full-thickness resection (EFTR) for gastric submucosal tumors is leakage of intragastric gas into the abdominal cavity through the full-thickness defect [1]. Previous solutions have ingeniously included handmade balloon devices [2]. However, this approach can be time-consuming, and the handmade nature of the balloon introduces potential risks such as rupture, intraperitoneal dislodgement, and unintentional detachment during the procedure. We report a case in which EFTR was successfully completed while maintaining a stable endoscopic field by using a balloon occlusion method with a commercially available ileus tube (EFTR balloon) inserted into the full-thickness defect.



Publikationsverlauf

Eingereicht: 07. August 2025

Angenommen nach Revision: 03. Oktober 2025

Artikel online veröffentlicht:
03. November 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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Bibliographical Record
Haruhiro Inoue, Satoshi Abiko, Kei Ushikubo, Kazuki Yamamoto, Yohei Nishikawa, Ippei Tanaka, Naoya Sakamoto. Balloon occlusion method using a commercially available ileus tube during endoscopic full-thickness resection: Simple solution to gas leakage. Endosc Int Open 2025; 13: a27275056.
DOI: 10.1055/a-2727-5056
 
  • References

  • 1 Tada N, Kobara H, Nishiyama N. et al. Current status of endoscopic full-thickness resection for gastric subepithelial tumors: a literature review over two decades. Digestion 2023; 104: 415-429
  • 2 Aslan F, Ozer S, Taskin OC. et al. Challenges and solutions in endoscopic full-thickness resection. VideoGIE 2025; 10: 289-295