Year 2024 / Volume 116 / Number 9
Letter
Entire traction using clip-and-nylon ring to facilitate endoscopic submucosal dissection of a laterally spreading tumor with fibrosis in the rectum

504-505

DOI: 10.17235/reed.2023.9962/2023

Wen-Juan Ding, Ming Wang, Xiang-Rong Zhou, Zhi-Qiang Du, Wei-Hui Liu,

Abstract
A 78-year-old woman with hematochezia underwent a colonoscopy and found a 2 × 2-cm laterally spreading tumor (LST) in the rectum, 3 cm from the anus. Because of the risk related to anus preservation and the potential operative trauma, the patient refused surgery and was referred for ESD treatment. Here, we applied a novel entire traction method to deal with this subset of tumors.
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References
1. Draganov PV, Aihara H, Karasik MS, et al. Endoscopic Submucosal Dissection in North America: A Large Prospective Multicenter Study. Gastroenterology 2021;160:2317-27.e2.
2. Marín-Gabriel JC, Lora Pablos D, Díaz-Tasende J, et al. Switching from endoscopic submucosal dissection to salvage piecemeal knife-assisted snare resection to remove a lesion: A preoperative risk score from the beginning. Rev Esp Enferm Dig 2018;110:699-705.
3. Kuroha M, Shiga H, Kanazawa Y, et al. Factors Associated with Fibrosis during Colorectal Endoscopic Submucosal Dissection: Does Pretreatment Biopsy Potentially Elicit Submucosal Fibrosis and Affect Endoscopic Submucosal Dissection Outcomes? Digestion 2021;102:590-8.
4. Ozeki Y, Hirasawa K, Ikeda R, et al. Safety and efficacy of water pressure endoscopic submucosal dissection for colorectal tumors with submucosal fibrosis (with video). Gastrointest Endosc 2021;94:607-17.e2.
5. Yamasaki Y, Takeuchi Y, Uedo N, et al. Efficacy of traction-assisted colorectal endoscopic submucosal dissection using a clip-and-thread technique: A prospective randomized study. Dig Endosc 2018;30:467-76.
6. Abe S, Wu SYS, Ego M, et al. Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection. Gut Liver 2020;14:673-84.
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Citation tools
Ding W, Wang M, Zhou X, Du Z, Liu W. Entire traction using clip-and-nylon ring to facilitate endoscopic submucosal dissection of a laterally spreading tumor with fibrosis in the rectum . 9962/2023


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Publication history

Received: 15/09/2023

Accepted: 19/10/2023

Online First: 06/11/2023

Published: 09/09/2024

Article Online First time: 52 days

Article editing time: 360 days


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