Mori Hirohito, Rafiq Kazi, Kobara Hideki, Nishiyama Noriko, Fujihara Shintaro, Yachida Tatsuo, Ayagi Maki, Tani Joji, Miyoshi Hisaaki, Masaki Tsutomu
Hirohito Mori, Kazi Rafiq, Hideki Kobara, Noriko Nishiyama, Shintaro Fujihara, Tatsuo Yachida, Maki Ayagi, Joji Tani, Hisaaki Miyoshi, Tsutomu Masaki, Department of Gastroenterology and Neurology, Kagawa University, Kagawa 761-0793, Japan.
World J Gastroenterol. 2014 Feb 14;20(6):1623-5. doi: 10.3748/wjg.v20.i6.1623.
Previously, we reported the efficacy of a newly developed inverted overtube in shortening the hemostatic time and obtaining a clear endoscopic view in emergency endoscopic hemostasis. This device also helped us to perform gastric endoscopic submucosal dissection (ESD) more safely by changing the direction of gravity in the right lateral position. To perform a safe ESD, it is important to make an appropriate angle and distance between the electric knife and the gastric mucosa. In this position, the distance to gastric mucosa is reduced, and the angle of the electric knife changes from vertical to somewhat oblique, facilitating safer cutting.
此前，我们报道了一种新开发的倒置外套管在紧急内镜止血中缩短止血时间和获得清晰内镜视野方面的疗效。该装置还通过改变右侧卧位时的重力方向，帮助我们更安全地进行胃内镜黏膜下剥离术（ESD）。为了安全地进行ESD，在电刀与胃黏膜之间形成合适的角度和距离很重要。在这个体位，到胃黏膜的距离减小，电刀的角度从垂直变为有点倾斜，便于更安全地切割。
