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Review
. 2017 May;50(3):219-223.
doi: 10.5946/ce.2017.078. Epub 2017 May 31.

History and Development of Accessories for Endoscopic Submucosal Dissection

Bong Min Ko  1
Affiliations
Review

History and Development of Accessories for Endoscopic Submucosal Dissection

Bong Min Ko. Clin Endosc. 2017 May.

Abstract

Endoscopic submucosal dissection (ESD) procedure is composed of circumferential mucosal incision and submucosal dissection. A variety of endoscopic accessories are required to perform mucosal incision and submucosal dissection safely. As a result of the improvements in ESD devices and peripheral equipment and development of the ESD technique, ESD procedures have been performed extensively worldwide. Here I review the history of the development of accessories used in performing ESD procedures.

Keywords: Dissection, Endoscopic submucosal; Endoscopic accessory; Endoscopic mucosal resection; Mucosal incision.

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Conflict of interest statement

Conflicts of Interest: The author has no financial conflicts of interest.

Figures

Fig. 1.
Fig. 1.
Blunt tip endoscopic submucosal dissection (ESD) knives. (A) IT knife (Olympus, Tokyo, Japan). (B) Safe Knife V (Fujifilm, Tokyo, Japan). (C) Mucosectom (Pentax, Tokyo, Japan). (D) Swan blade (Pentax, Tokyo, Japan).
Fig. 2.
Fig. 2.
Tip-cutting endoscopic submucosal dissection (ESD) knives. (A) Hook knife (Olympus, Tokyo, Japan). (B) Flex knife (Olympus, Tokyo, Japan). (C) Dual knife (Olympus, Tokyo, Japan). (D) Flush knife BT (Fujifilm, Tokyo, Japan). (E) Hybrid knife (ERBE, Erlangen, Germany).
Fig. 3.
Fig. 3.
IT knife series (Olympus, Tokyo, Japan). (A) Original IT knife. (B) IT knife 2. (C) IT knife nano.
Fig. 4.
Fig. 4.
Dual knife J™ (Olympus, Tokyo, Japan).
Fig. 5.
Fig. 5.
Stage beetle knife Jr (Sumitomo Bakelite Co., Tokyo, Japan).
Fig. 6.
Fig. 6.
Each knife for gastrointestinal (GI) endoscopic submucosal dissection (ESD) and its release year. Adapted from Tanaka et al. [11].
Fig. 7.
Fig. 7.
Distal attachment (Olympus Medical System, Tokyo, Japan).
Fig. 8.
Fig. 8.
Development of the ST hood (Fujifilm, Tokyo, Japan).
See this image and copyright information in PMC

References

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