Rectal reconstruction after endoscopic submucosal dissection for removal of a giant rectal lesion

Kantsevoy, Sergey V.; Wagner, Andrej; Mitrakov, A; Thuluvath, Avesh J.; Berr, Frieder

doi:10.1016/j.vgie.2018.12.001

Cited by 8 publications

(4 citation statements)

References 14 publications

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“…14 The use of a double-balloon countertraction device has been reported to facilitate endoscopic suturing in the right colon segment by using the device as a conduit. 15,16 However, the combination of the doubleballoon overtube and suturing device is expensive and not cost effective, considering the current suboptimal reimbursement for ESD. As demonstrated in the video, the clip-band device allows for efficient approximating and subsequently facilitating the clip closure of large resection defects.…”

Section: Discussionmentioning

confidence: 99%

A novel clip-band traction device to facilitate colorectal endoscopic submucosal dissection and defect closure

Aihara

2020

VideoGIE

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Endoscopic submucosal dissection (ESD) allows for en bloc resection of large superficial lesions throughout the GI tract. 1,2 Adequate visualization of the submucosal dissection plane is critically important for both safety and efficacy in ESD. In traditional surgery, an assistant provides effective countertraction. However, this is not feasible with endoscopic resection, wherein countertraction is naturally absent, aside from the effects of gravity acting on the partially resected lesion.Multiple devices and techniques have been proposed and investigated to enhance visualization of the submucosal space. Internal traction methods include the use of a nylon suture, 3 the dental floss-clip traction (or clip-line) method, 4,5 the classic clip-rubber band method, 6,7 a spring-action S-O clip, 8 and the suture pulley method. 9,10 External traction devices include large double-balloon devices and robotic platforms.

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Section: Discussionmentioning

confidence: 99%

A novel clip-band traction device to facilitate colorectal endoscopic submucosal dissection and defect closure

Aihara

2020

VideoGIE

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“…[1][2][3][4][5] Recently developed DiLumen (Lumendi LLC, Westport, Conn, USA) double-balloon endoluminal interventional platform (DBEIP) consists of an overtube with 2 balloons: one (aft-balloon) is fixed to the oral end of the overtube, and the other (foreballoon) can be extended forward or pulled back with 2 attached suture-loops providing traction to facilitate various endoscopic interventions. [6][7][8][9][10] We are now reporting the first purely endoscopic appendectomy by using DiLumen.…”

Section: Purely Endoscopic Appendectomymentioning

confidence: 99%

Purely endoscopic appendectomy

et al. 2022

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“…The afterballoon is inflated, and then the fore-balloon is advanced beyond the target and inflated to create a therapeutic zone that is flat and smooth. The fore-balloon can also be used to create counter traction during ESD by attaching two small circles with suture to the balloon and then clipping the edge of the polyp resection to the circles [61]. When the foreballoon is advanced, the edge of the resected mucosa is elevated to provide traction.…”

Section: Stabilization Platformsmentioning

confidence: 99%