Endoscopic submucosal dissection in the colon using a novel adjustable traction device: A-TRACT-2

Masgnaux, Louis-Jean; Grimaldi, Jean; Legros, Romain; Rivory, Jérôme; Wallenhorst, Timothée; Jacques, Jérémie; Pioche, Mathieu

doi:10.1055/a-1888-3963

Cited by 23 publications

(25 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The multipolar ("spider") system described above is enhanced by the addition of a loop that may be tightened. As the force exerted by the central rubber band decreases as dissection progresses, the loop is tightened thus maintaining the traction force [70][71][72][73].…”

Section: Distal Attachment Capmentioning

confidence: 99%

Endoscopic submucosal dissection techniques and technology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review

Libânio

Pimentel‐Nunes

Bastiaansen³

et al. 2023

Endoscopy

Self Cite

View full text Add to dashboard Cite

ESGE suggests conventional endoscopic submucosal dissection (ESD; marking and mucosal incision followed by circumferential incision and stepwise submucosal dissection) for most esophageal and gastric lesions. ESGE suggests tunneling ESD for esophageal lesions involving more than two-thirds of the esophageal circumference. ESGE recommends the pocket-creation method for colorectal ESD, at least if traction devices are not used. The use of dedicated ESD knives with size adequate to the location/thickness of the gastrointestinal wall is recommended. It is suggested that isotonic saline or viscous solutions can be used for submucosal injection. ESGE recommends traction methods in esophageal and colorectal ESD and in selected gastric lesions. After gastric ESD, coagulation of visible vessels is recommended, and post-procedural high dose proton pump inhibitor (PPI) (or vonoprazan). ESGE recommends against routine closure of the ESD defect, except in duodenal ESD. ESGE recommends corticosteroids after resection of > 50 % of the esophageal circumference. The use of carbon dioxide when performing ESD is recommended. ESGE recommends against the performance of second-look endoscopy after ESD. ESGE recommends endoscopy/colonoscopy in the case of significant bleeding (hemodynamic instability, drop in hemoglobin > 2 g/dL, severe ongoing bleeding) to perform endoscopic hemostasis with thermal methods or clipping; hemostatic powders represent rescue therapies. ESGE recommends closure of immediate perforations with clips (through-the-scope or cap-mounted, depending on the size and shape of the perforation), as soon as possible but ideally after securing a good plane for further dissection.

show abstract

Section: Distal Attachment Capmentioning

confidence: 99%

Endoscopic submucosal dissection techniques and technology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review

Libânio

Pimentel‐Nunes

Bastiaansen³

et al. 2023

Endoscopy

Self Cite

View full text Add to dashboard Cite

show abstract

“…An adaptive traction device that is capable of being tightened to increase traction during the late stages of the procedure (A-TRACT-2 + 2; Hospices civils de Lyon, France) could be useful in these situations ( Fig. 1 , Video 1 ) 4 5 .…”

Section: Figmentioning

confidence: 99%

Endoscopic intermuscular dissection of rectal T1 cancer with adaptive traction: use of additional loops to improve traction directly on the circular muscular layer

et al. 2023

Self Cite

View full text Add to dashboard Cite

“…Nevertheless, two limitations exist with four-point traction. First, traction tends to reduce as ESD progresses, although new devices that can be stretched during the procedure to increase traction seem promising 3 4 . Second, systematically placing four traction points is expensive (four clips), time-consuming, and not needed for lesions < 4 cm.…”

Section: Figmentioning

confidence: 99%

Endoscopic submucosal dissection of colonic residual laterally spreading tumor with adaptive traction: use of the additional loops to improve traction focally in difficult area

et al. 2022

Self Cite

View full text Add to dashboard Cite

Endoscopic submucosal dissection in the colon using a novel adjustable traction device: A-TRACT-2

Abstract: This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit.

Cited by 23 publications

References 2 publications

Endoscopic submucosal dissection techniques and technology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review

Endoscopic submucosal dissection techniques and technology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review

Endoscopic intermuscular dissection of rectal T1 cancer with adaptive traction: use of additional loops to improve traction directly on the circular muscular layer

Endoscopic submucosal dissection of colonic residual laterally spreading tumor with adaptive traction: use of the additional loops to improve traction focally in difficult area

Contact Info

Product

Resources

About