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KMID : 1038120200530010054
Clinical Endoscopy
2020 Volume.53 No. 1 p.54 ~ p.59
Clinical Usefulness of Dual Red Imaging in Gastric Endoscopic Submucosal Dissection: A Pilot Study
Yorita Naoki

Oka Shiro
Tanaka Shinji
Kotachi Takahiro
Nagasaki Naoko
Hata Kosaku
Kuroki Kazutaka
Masuda Kazuhiko
Kurihara Mio
Kiso Mariko
Boda Tomoyuki
Ito Masanori
Chayama Kazuaki
Abstract
Background/Aims: Dual red imaging (DRI) is a new, image-enhanced endoscopy technique. There are few reports about the usefulness of DRI during gastric endoscopic submucosal dissection (ESD). We aimed to examine the usefulness of DRI in endoscopic hemostasis during gastric ESD.

Methods: We enrolled a total of 20 consecutive patients who underwent gastric ESD. Five endoscopists compared DRI with white light imaging (WLI) for the visibility of blood vessels and bleeding points while performing endoscopic hemostasis.

Results: The visibility of blood vessels was increased in 56% (19/34) of the cases, and the visibility of bleeding points was improved in 55% (11/20) of the cases with the use of DRI compared with the use of WLI.

Conclusions: DRI improved the visibility of blood vessels and bleeding points in cases with oozing bleeding, blood pooling around the bleeding points, and multiple bleeding points.
KEYWORD
Dual red imaging, Endoscopic submucosal dissection, Endoscopic hemostasis, Image-enhanced endoscopy, Gastrointestinal bleeding
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