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Comparison between a novel core knife and the conventional IT knife 2 for endoscopic submucosal dissection of gastric mucosal lesions

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Author(s)
Myeongsoon ParkJin Wook LeeDong Woo ShinJungseok KimYoo Jin LeeJu Yup LeeKwang Bum Cho
Keimyung Author(s)
lee, Jin WookKim, Jeong SeokLee, Yoo JinLee, Ju YupCho, Kwang Bum
Department
Dept. of Internal Medicine (내과학)
Journal Title
Clin Endosc
Issued Date
2022
Volume
55
Issue
6
Keyword
Endoscopic submucosal dissectionEquipment and suppliesStomach neoplasmsSurgical instruments
Abstract
Background/Aims:
Few studies have compared the performances of endoscopic knives. This study aimed to compare the therapeutic outcomes of a novel core knife and the conventional IT knife 2 for endoscopic submucosal dissection (ESD) of gastric mucosal lesions.

Methods:
This prospective, non-inferiority trial included patients diagnosed with gastric adenoma or early-stage adenocarcinoma at Keimyung University Dongsan Hospital between June and November 2020. The patients were randomly assigned to either the core knife or the IT knife 2 group. The operators and assistants scored the knives’ grip convenience and cutting abilities.

Results:
A total of 39 patients were enrolled (core knife group, 20 patients; IT knife 2 group, 19 patients). There were no significant between-group differences in operator-assessed grip convenience (9.600 vs. 9.526, p=0.753), cutting ability (9.600 vs. 9.105, p=0.158), or assistant-assessed grip convenience (9.500 vs. 9.368, p=0.574).

Conclusions:
The core knife achieved therapeutic outcomes that were comparable to those of the IT knife 2 for ESD of gastric mucosal lesions.
Keimyung Author(s)(Kor)
이진욱
김정석
이유진
이주엽
조광범
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2234-2443
Source
https://www.e-ce.org/journal/view.php?doi=10.5946/ce.2022.002
DOI
10.5946/ce.2022.002
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44660
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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