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Endosc Int Open 2014; 02(03): E193-E195
DOI: 10.1055/s-0034-1377444
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© Georg Thieme Verlag KG Stuttgart · New York

Polyethylene glycol submucosal irrigation: a novel approach to improve visibility during endoscopic submucosal dissection

Vitor Arantes
1   Faculdade de Medicina da Universidade Federal de Minas Gerais - Alfa Institute of Gastroenterology, Belo Horizonte, Brazill
,
Takashi Toyonaga
2   Kobe University Hospital – Endoscopy, Kobe, Japan
,
Elias Alfonso Forero Piñeros
3   Hospital de la Policia – Endoscopy, Bogota, Colombia
› Author Affiliations
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Publication History

submitted 21 April 2014

accepted 03 June 2014

Publication Date:
16 July 2014 (online)

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Endoscopy International Open – recently publishedEndoscopy 2014; 46(09): 818-818
DOI: 10.1055/s-0034-1389704

In order to expand the availability of endoscopic submucosal dissection (ESD), measures to facilitate the procedure are necessary. When bleeding occurs, the examiner’s field of vision is critically impaired, and ESD becomes less efficient and more hazardous because of the presence of submucosal hematoma and covered blood clot. We propose the use of polyethylene glycol (PEG) irrigation as a simple and effective measure to improve visibility during submucosal dissection, particularly when bleeding occurs. PEG irrigation facilitates further dissection by allowing a better recognition of the submucosal fibers and muscularis propria layer.

 

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