Knives in Third Space

Abstract

Endoscopic mucosal resection (EMR) has always been done with a snare. The maximum diameter of the snare is usually 2 cm and the largest lesion that can be removed in one piece is usually maximum of 2 cm. In EMR, after the elevation of the submucosa, snares are used for the resection of the mucosal lesion; however, for endoscopic submucosal dissection (ESD), special knives are required, which have various uses in different areas of the gastrointestinal tract. ESD knives have developed and evolved over the past 30 years allowing it to be performed safely. It allows very precise cutting of the mucosa as well as dissection of the submucosal tissue planes. This review discusses some of the more commonly used knives.

Keywords

dual knife - endoscopy knives - ESD - IT knife - TT knife

Publikationsverlauf

Artikel online veröffentlicht:
05. Juli 2022

• References

• 1 Koh CJ, Yang D, Draganov PV. Endoscopic tools and accessories for ESD. In: Wagh M, Wani S, eds. Gastrointestinal Interventional Endoscopy Springer International Publishing; 2020: 67-81
• 2 Yamamoto H, Yube T, Isoda N. et al. A novel method of endoscopic mucosal resection using sodium hyaluronate. Gastrointest Endosc 1999; 50 (02) 251-256
• 3 Yahagi N, Fujishiro M, Kakushima N. et al. Endoscopic submucosal dissection for early gastric cancer using the tip of an electrosurgical snare (thin type). Dig Endosc 2004; 16 (01) 34-38
• 4 Mavrogenis G, Hochberger J, Deprez P, Shafazand M, Coumaros D, Yamamoto K. Technological review on endoscopic submucosal dissection: available equipment, recent developments and emerging techniques. Scand J Gastroenterol 2017; 52 (04) 486-498
• 5 Tanaka S, Terasaki M, Kanao H, Oka S, Chayama K. Current status and future perspectives of endoscopic submucosal dissection for colorectal tumors. Dig Endosc 2012; 24 (Suppl. 01) 73-79
• 6 Yamamoto H. Technology insight: endoscopic submucosal dissection of gastrointestinal neoplasms. Nat Clin Pract Gastroenterol Hepatol 2007; 4 (09) 511-520
• 7 Inoue H, Minami H, Kaga M, Sato Y, Kudo SE. Endoscopic mucosal resection and endoscopic submucosal dissection for esophageal dysplasia and carcinoma. Gastrointest Endosc Clin N Am 2010; 20 (01) 25-34 , v–vi
• 8 Inoue H, Santi EG, Onimaru M, Kudo SE. Submucosal endoscopy: from ESD to POEM and beyond. Gastrointest Endosc Clin N Am 2014; 24 (02) 257-264
• 9 Hosokawa K, Yoshida S. [Recent advances in endoscopic mucosal resection for early gastric cancer]. Gan To Kagaku Ryoho 1998; 25 (04) 476-483
• 10 Draganov PV, Gotoda T, Chavalitdhamrong D, Wallace MB. Techniques of endoscopic submucosal dissection: application for the Western endoscopist?. Gastrointest Endosc 2013; 78 (05) 677-688
• 11 Ono H, Hasuike N, Inui T. et al. Usefulness of a novel electrosurgical knife, the insulation-tipped diathermic knife-2, for endoscopic submucosal dissection of early gastric cancer. Gastric Cancer 2008; 11 (01) 47-52
• 12 Kodashima S, Fujishiro M, Yahagi N, Kakushima N, Omata M. Endoscopic submucosal dissection using flexknife. J Clin Gastroenterol 2006; 40 (05) 378-384
• 13 Takeuchi Y, Uedo N, Ishihara R. et al. Efficacy of an endo-knife with a water-jet function (Flushknife) for endoscopic submucosal dissection of superficial colorectal neoplasms. Am J Gastroenterol 2010; 105 (02) 314-322
• 14 Toyonaga T, Man-i M, Fujita T. et al. Endoscopic submucosal dissection using the Flush knife and the Flush knife BT. Tech Gastrointest Endosc 2011; 13 (01) 84-90
• 15 Yoshida N, Toyonaga T, Murakami T. et al. Efficacy of a novel narrow knife with water jet function for colorectal endoscopic submucosal dissection. Gastroenterol Res Pract 2017; 2017: 5897369
• 16 Yoshida N, Dohi O, Inoue K. et al. Efficacy of scissor-type knives for endoscopic mucosal dissection of superficial gastrointestinal neoplasms. Dig Endosc 2020; 32 (01) 4-15
• 17 Akahoshi K, Akahane H, Motomura Y. et al. A new approach: endoscopic submucosal dissection using the Clutch Cutter® for early stage digestive tract tumors. Digestion 2012; 85 (02) 80-84
• 18 Oka S, Tanaka S, Takata S, Kanao H, Chayama K. Usefulness and safety of SB knife Jr in endoscopic submucosal dissection for colorectal tumors. Dig Endosc 2012; 24 (Suppl. 01) 90-95
• 19 von Renteln D, Dulai PS, Pohl H, Vassiliou MC, Rösch T, Rothstein RI. Endoscopic submucosal dissection with a flexible Maryland dissector: randomized comparison of mesna and saline solution for submucosal injection (with videos). Gastrointest Endosc 2011; 74 (04) 906-911
• 20 Kim HG, Cho JY, Bok GH. et al. A novel device for endoscopic submucosal dissection, the Fork knife. World J Gastroenterol 2008; 14 (43) 6726-6732