The fundamenal and clinical studies on the endoscopic laser therapy of the protruding lesions

Akira Nakahara, Yasuhiro Takase, Keiji Tsukada, Kazuo Orii, Jiro Miyamoto, Michio Imawari, Isao Kawakita, Susumu Yamagata, Shohei Koyama, Hiroshi Muto, Keiji Mitamura Hisayuki Fukutomi, Toshiaki Osuga, Yoji Iwasaki, Takao Sakita, Kenjiro Sakurai, Daisuke Kato

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Laser has been utilized for endoscopic therapy of the protruding lesions. Animal experiments were performed before applying it to clinical trials. The results obtained from animal experiments and the findings by clinical trials were reported. 1. The beam of YAG laser is able to enter a microscope lens system and be focused on the proximal end of a 80μ diameter quartz fiber with the aid of a micropositioner. 2. The transmittance of this optical fiber is about 50% for YAG laser. 3. This waveguide protected by a thin flexible teflon tube can be passed down the biopsy channel of any standard fiberoptic endoscopy. (GIF-P2, GIF-D3, GTF-B2, GF-B2) 4. The distance from the tip of the waveguide to the lesion can be varied without moving the endoscope because the waveguide can be inserted and withdrawn in the same way as a biopsy forceps during diagnostic endoscopy. 5. Directions for use of laser are the radiation method and the contact method. The depth of injury in the tissues induced by the contact methods is deeper than by the radiation mothods. 6. Endoscopic laser treatment was performed in 36 lesions without accidental complications. 7. While performing polypectomy the contact methods are utilized for coagulation of center of polyp and polyp root. 8. The postoperative ulceration has healed within three weeks. 9. The specimens removed by endoscopic laser photocoagulation cannot be withdrawn except for the pedunclated polyp. Therefore, while performing endoscopic laser polypectomy it is desirable to try to remove the polyp of Yamada and Fukutomi type I, II and IV.

Original languageEnglish
Pages (from-to)1360-1373
Number of pages14
JournalGastroenterological Endoscopy
Volume22
Issue number10
DOIs
Publication statusPublished - 1980
Externally publishedYes

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Laser Therapy
Polyps
Lasers
Solid-State Lasers
Endoscopy
Clinical Trials
Radiation
Biopsy
Optical Fibers
Quartz
Light Coagulation
Endoscopes
Polytetrafluoroethylene
Surgical Instruments
Lenses
Clinical Studies
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

The fundamenal and clinical studies on the endoscopic laser therapy of the protruding lesions. / Nakahara, Akira; Takase, Yasuhiro; Tsukada, Keiji; Orii, Kazuo; Miyamoto, Jiro; Imawari, Michio; Kawakita, Isao; Yamagata, Susumu; Koyama, Shohei; Muto, Hiroshi; Hisayuki Fukutomi, Keiji Mitamura; Osuga, Toshiaki; Iwasaki, Yoji; Sakita, Takao; Sakurai, Kenjiro; Kato, Daisuke.

In: Gastroenterological Endoscopy, Vol. 22, No. 10, 1980, p. 1360-1373.

Research output: Contribution to journalArticle

Nakahara, A, Takase, Y, Tsukada, K, Orii, K, Miyamoto, J, Imawari, M, Kawakita, I, Yamagata, S, Koyama, S, Muto, H, Hisayuki Fukutomi, KM, Osuga, T, Iwasaki, Y, Sakita, T, Sakurai, K & Kato, D 1980, 'The fundamenal and clinical studies on the endoscopic laser therapy of the protruding lesions', Gastroenterological Endoscopy, vol. 22, no. 10, pp. 1360-1373. https://doi.org/10.11280/gee1973b.22.1360
Nakahara, Akira ; Takase, Yasuhiro ; Tsukada, Keiji ; Orii, Kazuo ; Miyamoto, Jiro ; Imawari, Michio ; Kawakita, Isao ; Yamagata, Susumu ; Koyama, Shohei ; Muto, Hiroshi ; Hisayuki Fukutomi, Keiji Mitamura ; Osuga, Toshiaki ; Iwasaki, Yoji ; Sakita, Takao ; Sakurai, Kenjiro ; Kato, Daisuke. / The fundamenal and clinical studies on the endoscopic laser therapy of the protruding lesions. In: Gastroenterological Endoscopy. 1980 ; Vol. 22, No. 10. pp. 1360-1373.
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