Endoscopic Submucosal Dissection With Sheath‐assisted Counter Traction for Early Gastric Cancers

Hijikata, Yasutaka; Ogasawara, Nagahisa; Sasaki, Makoto; Mizuno, Mari; Masui, Ryuta; Tokudome, Kentaro; Iida, Akihito; Miyashita, M.; Funaki, Yasushi; Kasugai, Kunio

doi:10.1111/j.1443-1661.2010.00948.x

Cited by 21 publications

(14 citation statements)

References 15 publications

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“…9 To facilitate the dissection, several methods have been proposed for use in the stomach and the colon: using longer-lasting solutions in the submucosa, 10 transparent hoods, 10 or traction methods. [12][13][14][15][16][17][18][19][20][21][22] The method proposed by Sakurazawa et al 21 has some similarities to ours. However, in their study, the second clip was applied not distally to the lesion, but on the opposite gastric wall.…”

Section: Discussionmentioning

confidence: 52%

Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video)

Parra‐Blanco¹,

Nicolás²,

Arnau³

et al. 2011

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 52%

Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video)

Parra‐Blanco¹,

Nicolás²,

Arnau³

et al. 2011

Gastrointestinal Endoscopy

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“…Some methods using a second endoscopy have been reported 14-17. The direction of traction could be controlled easily with the double scope method.…”

Section: Double Scope Methodsmentioning

confidence: 99%

Counter Traction Makes Endoscopic Submucosal Dissection Easier

2012

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Poor counter traction and poor field of vision make endoscopic submucosal dissection (ESD) difficult. Good counter traction allows dissections to be performed more quickly and safely. Position change, which utilizes gravity, is the simplest method to create a clear field of vision. It is useful especially for esophageal and colon ESD. The second easiest method is clip with line method. Counter traction made by clip with line accomplishes the creation of a clear field of vision and suitable counter traction thereby making ESD more efficient and safe. The author published this method in 2002. The name ESD was not established in those days; the name cutting endoscopic mucosal resection (EMR) or EMR with hook knife was used. The other traction methods such as external grasping forceps, internal traction, double channel scope, and double scopes method are introduced in this paper. A good strategy for creating counter traction makes ESD easier.

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“…In the past, traction methods using grasping forceps and sheaths have been reported. 17,18 Recently, the clip-and-line method has generally been used, 19 and especially the usefulness of traction using dental floss as a line has been reported in a randomized controlled trial. 20 A traction method using a magnetic anchor was reported by Gotoda et al in 2009, 21 but it is difficult to use in daily practice because the system is not easy to set up.…”

Section: Current Status Of Therapeutic Endoscopy For Gastric Lesionsmentioning

confidence: 99%

Innovative therapeutic endoscopy in the upper gastrointestinal tract: Review of Japan Gastroenterological Endoscopic Society Core Sessions

Yamamoto

Yahagi

Yamamoto

et al. 2020

Digestive Endoscopy

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Workshops on "Innovative Therapeutic Endoscopy" for upper gastrointestinal tract diseases were held four times as the Japan Gastroenterological Endoscopic Society (JGES) Core Sessions at the 93rd to 96th Biannual Meetings of the JGES. A total of 48 research presentations (including two invited lectures) were reported, and various discussions were held on these topics. When the research presentations were categorized according to the therapeutic procedure, endoscopic submucosal dissection (ESD) was the most frequent with 28 presentations (58.3%), followed by laparoscopy endoscopy cooperative surgery (LECS) with six presentations (12.5%). When the research presentations were classified by the target organ of the therapeutic procedures, the duodenum was the most frequent with 26 presentations (54.1%), followed by the stomach with 13 presentations (27.1%). The most important issue was the establishment of a safe and reliable endoscopic resection method for duodenal lesions. Issues related to gastric ESD were establishing an efficient traction method and a method to prevent post‐ESD bleeding in high‐risk patients. Other important issues were establishment of an efficient traction method and methods of preventing delayed bleeding in high‐risk patients who undergo gastric ESD, expansion of indications for minimally invasive treatment using LECS for gastric cancer, the development of endoscopic full‐thickness resection (EFTR) for gastric submucosal tumors (SMTs), and improvement of per‐oral endoscopic myotomy (POEM) for esophageal achalasia and per‐oral endoscopic tumor resection (POET) for esophageal SMTs. Through the JGES Core Sessions, it is expected that the minimally invasive treatments using endoscopes developed in Japan will be further advanced.

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Endoscopic Submucosal Dissection With Sheath‐assisted Counter Traction for Early Gastric Cancers

Abstract: Sheath-assisted traction ESD, using simple materials and methods, has several advantages over other standard traction methods. Our procedure is straightforward, safe, non-invasive, cost-effective and uses readily available instruments to enhance visualization of cutting lines.

Cited by 21 publications

References 15 publications

Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video)

Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video)

Counter Traction Makes Endoscopic Submucosal Dissection Easier

Innovative therapeutic endoscopy in the upper gastrointestinal tract: Review of Japan Gastroenterological Endoscopic Society Core Sessions

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