| Theme | Towards Standardization of ESD Procedures | |
|---|---|---|
| Title | Traction Assisted Gastrointestinal ESD Using "Clip and Line" | |
| Publish Date | 2017/04 | |
| Author | Yasushi Yamasaki | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Yoji Takeuchi | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Noriya Uedo | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Ryu Ishihara | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Hiroyasu Iishi | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| [ Summary ] | A "clip and line" is a simple and effective traction device for traction assisted endoscopic submucosal dissection (ESD) in the gastrointestinal tract. We can achieve good visualization of the submucosal layer during ESD by using a "clip and line". In addition, this device can efficiently reduce the dissection time of ESD, and it enables us to achieve gastrointestinal ESD with a simple strategy. Although a conventional traction technique using "clip and line" needs the endoscope to be withdrawn to mount the system, our newly developed method -- traction‒assisted colorectal ESD using clip and line (TAC‒ESD) -- does not require withdrawal and reinsertion of the endoscope. Thus, we can easily apply "clip and line" to colorectal ESD by using the TAC‒ESD method. A "clip and line" method is useful not only for technically difficult situations but also for easy situations in ESD. | |