Orthodontic Rubber Band-Assisted Endoscopic Submucosal Dissection: An Efficient Method for Treating Superficial Colorectal Tumors

Zheng, Linfu; Wen, Wu; Li, Dazhou; Jun-guo, Chen; Chen, Longping; Wang, Rong; Jiang, Chuanshen; Zhang, Guanpo; Hou, Yaping; Zheng, Jin; Bai, Yang

doi:10.1155/2022/2835258

Cited by 6 publications

(7 citation statements)

References 22 publications

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“…It comes in various diameters, has good elasticity, is cheap, and can be passed through the endoscope working channel. We showed in our previous study that the ESD procedure could be shortened by using ORB with a clip to assist ESD of colorectal tumors [ 7 ]. Therefore, we hypothesized that the use of ORB to assist gastric ESD could improve its efficiency.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, various ESD traction methods continued to emerge in recent years [ 6 ], all showing advantages and disadvantages. Our previous report showed that the combined orthodontic rubber band (ORB) and clip traction-assisted ESD achieved good results in colorectal tumors [ 7 ]. ORBs are cheap, simple to operate, safe, and effective in the ESD procedure.…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of the combined orthodontic rubber band and clip method for gastric endoscopic submucosal dissection

Zheng

Zhang

et al. 2022

BMC Gastroenterol

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Background and aims Effective traction is an important prerequisite for successful endoscopic submucosal dissection (ESD). The combined orthodontic rubber band (ORB) and clip method was effective in colorectal cancer ESD. To date, the method was not reported in gastric ESD. This study aimed to investigate its efficacy and safety for gastric neoplasms ESD. Methods We retrospectively analyzed data of 118 patients with gastric neoplasms treated by ESD from November 2020 to April 2022, 43 by ORB-ESD and 75 by the conventional ESD. The primary outcome measure was the ESD procedure time. Clinical data on efficacy and safety were also collected and analyzed. Propensity score matching (PSM) matched the patients in both groups. Results PSM successfully matched 31 pairs of patients. The ORB-ESD operation time was shorter (median [interquartile range], 35 [30–48] vs. 49 [40–70] min, P < 0.001) and dissection speed was higher (median [interquartile range], 22.6 [14.4–29.3] vs. 13.5 [9.6–17.9] mm2/min, P < 0.001) than in the conventional ESD. The groups were similar in muscular injury rate, frequency and time of use of thermal hemostatic forceps, postoperative adverse events, en bloc resection, and R0 resection rate (P > 0.05). Conclusions Compared to the conventional ESD, ORB-ESD significantly reduced the procedure time and increased the dissection speed, proving beneficial to gastric ESD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Usefulness of the combined orthodontic rubber band and clip method for gastric endoscopic submucosal dissection

Zheng

Zhang

et al. 2022

BMC Gastroenterol

Self Cite

View full text Add to dashboard Cite

show abstract

“…We showed in our previous study that the ESD procedure could be shortened by using ORB with a clip to assist ESD of colorectal tumors. 7 Therefore, we hypothesized that the use of ORB to assist gastric ESD could improve its e ciency.…”

Section: Discussionmentioning

confidence: 99%

“…Our experience suggests that placing a clip to clamp the rubber band to the opposite side of the lesion can reestablish effective traction. 7 Therefore, the ESD procedure may be shortened by re-inserting a new ORB for traction when dissecting lesions larger than 20 mm.…”

Section: Discussionmentioning

confidence: 99%

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Usefulness of the combined orthodontic rubber band and clip method for gastric endoscopic submucosal dissection

Zheng

Zhang

et al. 2022

Preprint

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Background and Aims Effective traction is an important prerequisite for successful endoscopic submucosal dissection (ESD). The combined orthodontic rubber band (ORB) and clip method was effective in colorectal cancer ESD. To date, the method was not reported in gastric ESD. This study aimed to investigate its efficacy and safety for gastric neoplasms ESD. Methods We retrospectively analyzed data of 118 patients with gastric neoplasms treated by ESD from November 2020 to April 2022, 43 by ORB-ESD and 75 by the conventional ESD. The primary outcome measure was the ESD procedure time. Clinical data on efficacy and safety were also collected and analyzed. Propensity score matching (PSM) matched the patients in both groups. Results PSM successfully matched 31 pairs of patients. The ORB-ESD operation time was shorter (median [interquartile range], 35 [30–48] versus 49 [40–70] min, P < 0.001) and dissection speed was higher (median [interquartile range], 22.6 [14.4–29.3] versus 13.5 [9.6–17.9] mm2/min, P < 0.001) than in the conventional ESD. The groups were similar in muscular injury rate, frequency and time of use of thermal hemostatic forceps, postoperative adverse events, en bloc resection, and R0 resection rate (P > 0.05). Conclusions Compared to the conventional ESD, ORB-ESD significantly reduced the procedure time and increased the dissection speed, proving beneficial to gastric ESD.

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Conventional versus rubber band traction-assisted endoscopic submucosal dissection for rectal neuroendocrine tumors: a single-center retrospective study (with video)

Peng,

Lin,

Fang

et al. 2024

Surg Endosc

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Background Endoscopic submucosal dissection (ESD) is a safe and effective technique for the treatment of gastrointestinal tumors, including rectal neuroendocrine tumors (r-NETs). However, the relative advantages of traction-assisted ESD for the treatment of small rectal lesions are still debated. Aims We conducted a study to compare the efficacy and safety of rubber band traction-assisted ESD (RBT-ESD) to conventional ESD (C-ESD). Methods This study retrospectively analyzed consecutive patients with r-NET treated with ESD between October 2021 and October 2023. Our study assessed differences between the groups in the complete resection rate of lesions, muscular layer injury, surgical complications, operation time, resection speed, time to liquid diet, postoperative hospital stay, hospital cost, and recurrence rate. Results A total of 119 patients with r-NETs participated in this study (RBT-ESD group, n = 27; C-ESD group, n = 92). The operation time in RBT-ESD group was shorter than in C-ESD group, but the difference was not statistically significant (16.0 min [9.0–22.0 min] vs. 18.0 min [13.3–27.0 min], P = 0.056). However, the resection speed was significantly faster in the RBT-ESD group (6.7 vs. 4.1 mm 2 /min, P = 0.005). Furthermore, the RBT-ESD group showed significantly less muscular layer injury ( P = 0.047) and faster diet recovery ( P = 0.035). No significant differences were observed in the complete resection rate, surgical complications, postoperative hospital stay, hospital cost, or recurrence rate between the two groups. Conclusion For r-NETs of < 2 cm in size, the RBT method did not significantly shorten the operation time but resulted in faster resection speed, less muscular layer injury, and earlier postoperative recovery to a liquid diet. Graphical Abstract Supplementary Information The online version contains supplementary material available at 10.1007/s00464-024-11244-5.

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Orthodontic Rubber Band-Assisted Endoscopic Submucosal Dissection: An Efficient Method for Treating Superficial Colorectal Tumors

Cited by 6 publications

References 22 publications

Usefulness of the combined orthodontic rubber band and clip method for gastric endoscopic submucosal dissection

Usefulness of the combined orthodontic rubber band and clip method for gastric endoscopic submucosal dissection

Usefulness of the combined orthodontic rubber band and clip method for gastric endoscopic submucosal dissection

Conventional versus rubber band traction-assisted endoscopic submucosal dissection for rectal neuroendocrine tumors: a single-center retrospective study (with video)

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