ArticleDEN open2027
Flushing-Assisted Saline Immersion Endoscopic Submucosal Dissection in the Rectum: A Video-Based Feasibility Series.
Article in DEN open, 2027. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Flushing endoscopic submucosal dissection (ESD) is a refinement of saline immersion ESD in which energy-synchronized saline flushing from the knife tip is hypothesized to disperse micro-bubbles and facilitate more controlled coagulation at the tissue interface. We retrospectively evaluated the technical feasibility of this approach in 10 rectal procedures performed at a tertiary referral center. Complete procedural videos were reviewed to describe treated visible submucosal vessel burden, minor bleeding, episodes of transient loss of visualization, and hemostatic forceps use. En bloc and histologically margin-negative (R0) resection was achieved in all 10 cases, while curative endoscopic resection was achieved in nine cases (90%). No intraprocedural perforation, delayed bleeding, post-ESD coagulation syndrome, or unplanned repeat intervention occurred. Median lesion size was 55 mm (interquartile range, 40-69.5), median procedure duration was 102.5 min (100-167.5), and median treated visible vessel count was 21 (11.5-40.75), corresponding to 1.04 vessels/cm
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