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Mucosal defect closure after duodenal endoscopic submucosal dissection using the reopenable-clip over the line method
Tatsuma Nomura1,2, Shinya Sugimoto2, Nobuyuki Tsuda2
1Department of Gastroenterology Mie Prefectural Shima Hospital Shima Japan.
Closure of large duodenal mucosal defects after endoscopic submucosal dissection (ESD) is now reliably achieved using the reopenable-clip over the line method (ROLM). This technique ensures complete closure, preventing adverse events and improving patient outcomes.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Surgical Innovation
Background:
- Effective closure of mucosal defects following duodenal endoscopic submucosal dissection (ESD) is critical for preventing postoperative complications.
- Previous methods included underwater clip closure and clip-line techniques.
- The reopenable-clip over the line method (ROLM) was developed for complete closure of mucosal defects, including margins and muscular layers.
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