A STUDY OF PHYSICAL EFFICACY OF DIFFERENT SNARES FOR ENDOSCOPIC MUCOSAL RESECTION

There are various types of snares for endoscopic mucosal resection (EMR). Some endoscopists may choose the snare according to their feeling, but we supposed that there were some physical reasons behind each choice. In this paper, we raise the questions, ‘What is the best snare chosen for EMR?’, and ‘Why do we have to do it?’. From the theory of dynamics, we thought that the most important element was vertical force, which we could add against mucosa through the snare. First, we made two situations; one was keeping horizontal faced position of loop of snare (we defined it as HPW; horizontal faced position weight), and the other was rising up position of it (we defined it as RPW). We inspected these forces for the representative and different seven snares, and calculated the ‘Effective Range’, which was a RPW minus a HPW in average. The results demonstrated that both the spiral snare and the smaller ‘Snare Master’ showed higher than other snares in HPW, RPW, and the Effective Range. Based on our study, we judged them as the most adequate snares for EMR in physics and logicality.