Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Mar 15, 2021; 13(3): 174-184
Published online Mar 15, 2021. doi: 10.4251/wjgo.v13.i3.174
Efficacy and safety of grasping forceps-assisted endoscopic resection for gastric neoplasms: A multi-centre retrospective study
Ryoji Ichijima, Sho Suzuki, Mitsuru Esaki, Toshiki Horii, Chika Kusano, Hisatomo Ikehara, Takuji Gotoda
Ryoji Ichijima, Sho Suzuki, Mitsuru Esaki, Toshiki Horii, Chika Kusano, Hisatomo Ikehara, Takuji Gotoda, Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Chiyoda-ku 101-0062, Tokyo, Japan
Mitsuru Esaki, Department of Medicine and Bioregulatory Sience, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan
Toshiki Horii, Department of Gastroenterology, Yuri Kumiai General Hospital, Yurihonjou City 015-8511, Akita, Japan
Author contributions: Ichijima R and Suzuki S drafted and revised the manuscript for important intellectual content; Esaki M and Horii T analysed and interpreted the data; Esaki M, Kusano C, Ikehara H and Gotoda T revised the manuscript for important intellectual content; all authors have read and approved the final version of the manuscript.
Institutional review board statement: The study protocol was approved by the institutional review board of Nihon University Surugadai Hospital.
Informed consent statement: Written informed consent was obtained from the patients before the ESD and GF-ER procedures.
Conflict-of-interest statement: The authors declare that they have no conflict-of-interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ryoji Ichijima, MD, Doctor, Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 1-6 Kanda-Surugadai, Chiyoda-ku 101-0062, Tokyo, Japan. ryoji0331@yahoo.co.jp
Received: December 10, 2020
Peer-review started: December 10, 2020
First decision: December 31, 2020
Revised: January 9, 2021
Accepted: February 1, 2021
Article in press: February 1, 2021
Published online: March 15, 2021
Core Tip

Core Tip: Endoscopic submucosal dissection (ESD) is widely accepted for early gastric cancer (EGC), although ESD is challenging, even for small lesions, in the greater curvature of the upper and middle thirds of the stomach. The major discoveries and findings in this study are; we found that grasping forceps-assisted endoscopic resection achieved en bloc and R0 resections with significantly shorter procedure times (vs ESD), without any adverse events. Although ESD is considered the first-line treatment for EGC, it is not always necessary to treat lesions in all areas using ESD, and endoscopic mucosal resection is a feasible option if en bloc resection is considered possible, as it can be performed easily and quickly.