Peppermint oil solution administration and acetic acid-enhanced method for device of ESD procedure

摘要

The safety and certainty in performing Endoscopic submucosal dissection (ESD) are one of important points. Peppermint oil solution can be used as an antispastic agent for safety procedure. In addition, the acetic acid-enhanced method can be used as technique that can obtain certain diagnosis for the margin of the gastric neoplasm before procedure. In our hospital, from July 2005 to January 2006, 49 lesions of 31 cases with gastric cancer, intestinal type or adenoma were treated by ESD. Peppermint oil solution was administrated in 31 cases, and it was effective in all cases. The acetic acid-enhanced method was performed in all lesions. In 26 of 49 lesions, this method could detect the margin of the neoplasm clearer than the conventional endoscopy. These techniques were convenient and useful for safe and certain ESD.