Feasibility Study of Partial Submucosal Injection Technique Combining Underwater EMR for Superficial Duodenal Epithelial Tumors
Background and Aims Endoscopic mucosal resection (EMR) and Underwater EMR have been reported as effective endoscopic treatment for superficial duodenal tumor (SDET). However, a notable problem of EMR for SDET is technical difficulty for the lesion with non-lifting sign, and it of UEMR is that en blo...
Gespeichert in:
| Veröffentlicht in: | Digestive diseases and sciences 2022-03, Vol.67 (3), p.971-977 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 977 |
|---|---|
| container_issue | 3 |
| container_start_page | 971 |
| container_title | Digestive diseases and sciences |
| container_volume | 67 |
| creator | Takatori, Yusaku Kato, Motohiko Masunaga, Teppei Kubosawa, Yoko Mizutani, Mari Kiguchi, Yoshiyuki Matsuura, Noriko Nakayama, Atsushi Maehata, Tadateru Yahagi, Naohisa |
| description | Background and Aims
Endoscopic mucosal resection (EMR) and Underwater EMR have been reported as effective endoscopic treatment for superficial duodenal tumor (SDET). However, a notable problem of EMR for SDET is technical difficulty for the lesion with non-lifting sign, and it of UEMR is that en bloc resection rate is relatively low. Therefore, we performed partial submucosal injection combining UEMR (PI-UEMR). The aim of this study is to evaluate feasibility and safety of this technique for duodenal tumor.
Methods
This is a prospective observational study from tertiary care hospital. We performed PI-UEMR in patients with SDET that is 13–20 mm in diameter, or less than 13 mm with technical difficulty for EMR and UEMR from January 2019 to March 2020. Primary outcome was en bloc resection rate. Secondary outcomes were R0 resection rate, mean total procedure time, intra- and post-procedure complication.
Results
Thirty patients were included in this study. Mean age was 62 ± 12 years old. Three fourths lesions were located at anal side from major papilla. Median lesion size was 12 mm [IQR 10–16 mm]. Twenty-four cases were taken endoscopic biopsy in prior hospital and observed biopsy scar. En bloc resection rate was 97%. Ro resection rate was 83%. Mean total procedure time was 17 ± 12 min. And there was an only one case of complication, intra-procedure bleeding that was controllable endoscopically.
Conclusions
PI-UEMR might be very useful and safe technique of endoscopic resection for SDET including relatively large lesions. |
| doi_str_mv | 10.1007/s10620-021-06925-3 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2501852711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A706398850</galeid><sourcerecordid>A706398850</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-f37350bd9f123702954f8a3b716b02f0c70ee794fe58ec03bb19846d966437813</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhS0EotvCH-CAInHhkjK2Ezs5VssWKhWB6PZsOc5461ViL3YitCf-Ot5uoQIh5INHM997mtEj5BWFcwog3yUKgkEJjJYgWlaX_AlZ0FryktWieUoWQEWuKRUn5DSlLQC0korn5IRzybho5YL8uESdXOcGN-2Lm2nu90WwxRcdJ6eH4mbuxtmElMsrv0UzueCLNZo7777NWCzD2Dnv_Ka49T3G73rCWKw-fS1siFm7w2idOfi8n0OPPhernZvucDj01vMYYnpBnlk9JHz58J-R28vVevmxvP784Wp5cV2aqmJTabnkNXR9aynjElhbV7bRvMvndMAsGAmIsq0s1g0a4F1H26YSfStExWVD-Rl5e_TdxZBXT5MaXTI4DNpjmJNiNdCmZpIe0Dd_odswx7x9prIbZZmqHqmNHlA5b8MUtTmYqgsJgrdNU0Omzv9B5dfj6EzwaF3u_yFgR4GJIaWIVu2iG3XcKwrqkLo6pq5y6uo-dcWz6PXDxjkv7H9LfsWcAX4EUh75DcbHk_5j-xNTsbYJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2643122714</pqid></control><display><type>article</type><title>Feasibility Study of Partial Submucosal Injection Technique Combining Underwater EMR for Superficial Duodenal Epithelial Tumors</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Takatori, Yusaku ; Kato, Motohiko ; Masunaga, Teppei ; Kubosawa, Yoko ; Mizutani, Mari ; Kiguchi, Yoshiyuki ; Matsuura, Noriko ; Nakayama, Atsushi ; Maehata, Tadateru ; Yahagi, Naohisa</creator><creatorcontrib>Takatori, Yusaku ; Kato, Motohiko ; Masunaga, Teppei ; Kubosawa, Yoko ; Mizutani, Mari ; Kiguchi, Yoshiyuki ; Matsuura, Noriko ; Nakayama, Atsushi ; Maehata, Tadateru ; Yahagi, Naohisa</creatorcontrib><description>Background and Aims
Endoscopic mucosal resection (EMR) and Underwater EMR have been reported as effective endoscopic treatment for superficial duodenal tumor (SDET). However, a notable problem of EMR for SDET is technical difficulty for the lesion with non-lifting sign, and it of UEMR is that en bloc resection rate is relatively low. Therefore, we performed partial submucosal injection combining UEMR (PI-UEMR). The aim of this study is to evaluate feasibility and safety of this technique for duodenal tumor.
Methods
This is a prospective observational study from tertiary care hospital. We performed PI-UEMR in patients with SDET that is 13–20 mm in diameter, or less than 13 mm with technical difficulty for EMR and UEMR from January 2019 to March 2020. Primary outcome was en bloc resection rate. Secondary outcomes were R0 resection rate, mean total procedure time, intra- and post-procedure complication.
Results
Thirty patients were included in this study. Mean age was 62 ± 12 years old. Three fourths lesions were located at anal side from major papilla. Median lesion size was 12 mm [IQR 10–16 mm]. Twenty-four cases were taken endoscopic biopsy in prior hospital and observed biopsy scar. En bloc resection rate was 97%. Ro resection rate was 83%. Mean total procedure time was 17 ± 12 min. And there was an only one case of complication, intra-procedure bleeding that was controllable endoscopically.
Conclusions
PI-UEMR might be very useful and safe technique of endoscopic resection for SDET including relatively large lesions.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-021-06925-3</identifier><identifier>PMID: 33723697</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aged ; Ampulla of Vater - pathology ; Biochemistry ; Biopsy ; Care and treatment ; Duodenal Neoplasms - pathology ; Duodenal Neoplasms - surgery ; Electronic records ; Endoscopic Mucosal Resection - adverse effects ; Endoscopic Mucosal Resection - methods ; Endoscopy ; Feasibility Studies ; Gastroenterology ; Gastrointestinal diseases ; Hepatology ; Hospitals ; Humans ; Intestinal Mucosa - pathology ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Methods ; Middle Aged ; Neoplasms, Glandular and Epithelial - pathology ; Oncology ; Original Article ; Patients ; Retrospective Studies ; Transplant Surgery ; Treatment Outcome ; Tumors</subject><ispartof>Digestive diseases and sciences, 2022-03, Vol.67 (3), p.971-977</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-f37350bd9f123702954f8a3b716b02f0c70ee794fe58ec03bb19846d966437813</citedby><cites>FETCH-LOGICAL-c442t-f37350bd9f123702954f8a3b716b02f0c70ee794fe58ec03bb19846d966437813</cites><orcidid>0000-0002-7579-1316</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-021-06925-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-021-06925-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33723697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takatori, Yusaku</creatorcontrib><creatorcontrib>Kato, Motohiko</creatorcontrib><creatorcontrib>Masunaga, Teppei</creatorcontrib><creatorcontrib>Kubosawa, Yoko</creatorcontrib><creatorcontrib>Mizutani, Mari</creatorcontrib><creatorcontrib>Kiguchi, Yoshiyuki</creatorcontrib><creatorcontrib>Matsuura, Noriko</creatorcontrib><creatorcontrib>Nakayama, Atsushi</creatorcontrib><creatorcontrib>Maehata, Tadateru</creatorcontrib><creatorcontrib>Yahagi, Naohisa</creatorcontrib><title>Feasibility Study of Partial Submucosal Injection Technique Combining Underwater EMR for Superficial Duodenal Epithelial Tumors</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background and Aims
Endoscopic mucosal resection (EMR) and Underwater EMR have been reported as effective endoscopic treatment for superficial duodenal tumor (SDET). However, a notable problem of EMR for SDET is technical difficulty for the lesion with non-lifting sign, and it of UEMR is that en bloc resection rate is relatively low. Therefore, we performed partial submucosal injection combining UEMR (PI-UEMR). The aim of this study is to evaluate feasibility and safety of this technique for duodenal tumor.
Methods
This is a prospective observational study from tertiary care hospital. We performed PI-UEMR in patients with SDET that is 13–20 mm in diameter, or less than 13 mm with technical difficulty for EMR and UEMR from January 2019 to March 2020. Primary outcome was en bloc resection rate. Secondary outcomes were R0 resection rate, mean total procedure time, intra- and post-procedure complication.
Results
Thirty patients were included in this study. Mean age was 62 ± 12 years old. Three fourths lesions were located at anal side from major papilla. Median lesion size was 12 mm [IQR 10–16 mm]. Twenty-four cases were taken endoscopic biopsy in prior hospital and observed biopsy scar. En bloc resection rate was 97%. Ro resection rate was 83%. Mean total procedure time was 17 ± 12 min. And there was an only one case of complication, intra-procedure bleeding that was controllable endoscopically.
Conclusions
PI-UEMR might be very useful and safe technique of endoscopic resection for SDET including relatively large lesions.</description><subject>Aged</subject><subject>Ampulla of Vater - pathology</subject><subject>Biochemistry</subject><subject>Biopsy</subject><subject>Care and treatment</subject><subject>Duodenal Neoplasms - pathology</subject><subject>Duodenal Neoplasms - surgery</subject><subject>Electronic records</subject><subject>Endoscopic Mucosal Resection - adverse effects</subject><subject>Endoscopic Mucosal Resection - methods</subject><subject>Endoscopy</subject><subject>Feasibility Studies</subject><subject>Gastroenterology</subject><subject>Gastrointestinal diseases</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intestinal Mucosa - pathology</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Neoplasms, Glandular and Epithelial - pathology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Transplant Surgery</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUFv1DAQhS0EotvCH-CAInHhkjK2Ezs5VssWKhWB6PZsOc5461ViL3YitCf-Ot5uoQIh5INHM997mtEj5BWFcwog3yUKgkEJjJYgWlaX_AlZ0FryktWieUoWQEWuKRUn5DSlLQC0korn5IRzybho5YL8uESdXOcGN-2Lm2nu90WwxRcdJ6eH4mbuxtmElMsrv0UzueCLNZo7777NWCzD2Dnv_Ka49T3G73rCWKw-fS1siFm7w2idOfi8n0OPPhernZvucDj01vMYYnpBnlk9JHz58J-R28vVevmxvP784Wp5cV2aqmJTabnkNXR9aynjElhbV7bRvMvndMAsGAmIsq0s1g0a4F1H26YSfStExWVD-Rl5e_TdxZBXT5MaXTI4DNpjmJNiNdCmZpIe0Dd_odswx7x9prIbZZmqHqmNHlA5b8MUtTmYqgsJgrdNU0Omzv9B5dfj6EzwaF3u_yFgR4GJIaWIVu2iG3XcKwrqkLo6pq5y6uo-dcWz6PXDxjkv7H9LfsWcAX4EUh75DcbHk_5j-xNTsbYJ</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Takatori, Yusaku</creator><creator>Kato, Motohiko</creator><creator>Masunaga, Teppei</creator><creator>Kubosawa, Yoko</creator><creator>Mizutani, Mari</creator><creator>Kiguchi, Yoshiyuki</creator><creator>Matsuura, Noriko</creator><creator>Nakayama, Atsushi</creator><creator>Maehata, Tadateru</creator><creator>Yahagi, Naohisa</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7579-1316</orcidid></search><sort><creationdate>20220301</creationdate><title>Feasibility Study of Partial Submucosal Injection Technique Combining Underwater EMR for Superficial Duodenal Epithelial Tumors</title><author>Takatori, Yusaku ; Kato, Motohiko ; Masunaga, Teppei ; Kubosawa, Yoko ; Mizutani, Mari ; Kiguchi, Yoshiyuki ; Matsuura, Noriko ; Nakayama, Atsushi ; Maehata, Tadateru ; Yahagi, Naohisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-f37350bd9f123702954f8a3b716b02f0c70ee794fe58ec03bb19846d966437813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Ampulla of Vater - pathology</topic><topic>Biochemistry</topic><topic>Biopsy</topic><topic>Care and treatment</topic><topic>Duodenal Neoplasms - pathology</topic><topic>Duodenal Neoplasms - surgery</topic><topic>Electronic records</topic><topic>Endoscopic Mucosal Resection - adverse effects</topic><topic>Endoscopic Mucosal Resection - methods</topic><topic>Endoscopy</topic><topic>Feasibility Studies</topic><topic>Gastroenterology</topic><topic>Gastrointestinal diseases</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intestinal Mucosa - pathology</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Neoplasms, Glandular and Epithelial - pathology</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Transplant Surgery</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takatori, Yusaku</creatorcontrib><creatorcontrib>Kato, Motohiko</creatorcontrib><creatorcontrib>Masunaga, Teppei</creatorcontrib><creatorcontrib>Kubosawa, Yoko</creatorcontrib><creatorcontrib>Mizutani, Mari</creatorcontrib><creatorcontrib>Kiguchi, Yoshiyuki</creatorcontrib><creatorcontrib>Matsuura, Noriko</creatorcontrib><creatorcontrib>Nakayama, Atsushi</creatorcontrib><creatorcontrib>Maehata, Tadateru</creatorcontrib><creatorcontrib>Yahagi, Naohisa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takatori, Yusaku</au><au>Kato, Motohiko</au><au>Masunaga, Teppei</au><au>Kubosawa, Yoko</au><au>Mizutani, Mari</au><au>Kiguchi, Yoshiyuki</au><au>Matsuura, Noriko</au><au>Nakayama, Atsushi</au><au>Maehata, Tadateru</au><au>Yahagi, Naohisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility Study of Partial Submucosal Injection Technique Combining Underwater EMR for Superficial Duodenal Epithelial Tumors</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>67</volume><issue>3</issue><spage>971</spage><epage>977</epage><pages>971-977</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><abstract>Background and Aims
Endoscopic mucosal resection (EMR) and Underwater EMR have been reported as effective endoscopic treatment for superficial duodenal tumor (SDET). However, a notable problem of EMR for SDET is technical difficulty for the lesion with non-lifting sign, and it of UEMR is that en bloc resection rate is relatively low. Therefore, we performed partial submucosal injection combining UEMR (PI-UEMR). The aim of this study is to evaluate feasibility and safety of this technique for duodenal tumor.
Methods
This is a prospective observational study from tertiary care hospital. We performed PI-UEMR in patients with SDET that is 13–20 mm in diameter, or less than 13 mm with technical difficulty for EMR and UEMR from January 2019 to March 2020. Primary outcome was en bloc resection rate. Secondary outcomes were R0 resection rate, mean total procedure time, intra- and post-procedure complication.
Results
Thirty patients were included in this study. Mean age was 62 ± 12 years old. Three fourths lesions were located at anal side from major papilla. Median lesion size was 12 mm [IQR 10–16 mm]. Twenty-four cases were taken endoscopic biopsy in prior hospital and observed biopsy scar. En bloc resection rate was 97%. Ro resection rate was 83%. Mean total procedure time was 17 ± 12 min. And there was an only one case of complication, intra-procedure bleeding that was controllable endoscopically.
Conclusions
PI-UEMR might be very useful and safe technique of endoscopic resection for SDET including relatively large lesions.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33723697</pmid><doi>10.1007/s10620-021-06925-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7579-1316</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0163-2116 |
| ispartof | Digestive diseases and sciences, 2022-03, Vol.67 (3), p.971-977 |
| issn | 0163-2116 1573-2568 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2501852711 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Aged Ampulla of Vater - pathology Biochemistry Biopsy Care and treatment Duodenal Neoplasms - pathology Duodenal Neoplasms - surgery Electronic records Endoscopic Mucosal Resection - adverse effects Endoscopic Mucosal Resection - methods Endoscopy Feasibility Studies Gastroenterology Gastrointestinal diseases Hepatology Hospitals Humans Intestinal Mucosa - pathology Medical research Medicine Medicine & Public Health Medicine, Experimental Methods Middle Aged Neoplasms, Glandular and Epithelial - pathology Oncology Original Article Patients Retrospective Studies Transplant Surgery Treatment Outcome Tumors |
| title | Feasibility Study of Partial Submucosal Injection Technique Combining Underwater EMR for Superficial Duodenal Epithelial Tumors |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T03%3A36%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Feasibility%20Study%20of%20Partial%20Submucosal%20Injection%20Technique%20Combining%20Underwater%20EMR%20for%20Superficial%20Duodenal%20Epithelial%20Tumors&rft.jtitle=Digestive%20diseases%20and%20sciences&rft.au=Takatori,%20Yusaku&rft.date=2022-03-01&rft.volume=67&rft.issue=3&rft.spage=971&rft.epage=977&rft.pages=971-977&rft.issn=0163-2116&rft.eissn=1573-2568&rft_id=info:doi/10.1007/s10620-021-06925-3&rft_dat=%3Cgale_proqu%3EA706398850%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2643122714&rft_id=info:pmid/33723697&rft_galeid=A706398850&rfr_iscdi=true |