Open AccessRecent traction methods for endoscopic submucosal dissection
Author(s) -
Kiichiro Tsuji,
Naohiro Yoshida,
Hiroyuki Nakanishi,
Kenichi Takemura,
Shinya Yamada,
Hisashi Doyama
Publication year - 2016
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v22.i26.5917
Subject(s) - endoscopic submucosal dissection , medicine , traction (geology) , endoscopic mucosal resection , forceps , perforation , surgery , resection , materials science , geomorphology , punching , metallurgy , geology
Endoscopic mucosal resection (EMR) is problematic with regard to en bloc and curable resection rates. Advancements in endoscopic techniques have enabled novel endoscopic approaches such as endoscopic submucosal dissection (ESD), which has overcome some EMR problems, and has become the standard treatment for gastrointestinal tumors. However, ESD is technically difficult. Procedure time is longer and complications such as intraoperative perforation and bleeding occur more frequently than in EMR. Recently various traction methods have been introduced to facilitate ESD procedures, such as clip with line, external forceps, clip and snare, internal traction, double scope, and magnetic anchor. Each method must be used appropriately according to the anatomical characteristics. In this review we discuss recently proposed traction methods for ESD based on the characteristics of various anatomical sites.