Counter Traction Makes Endoscopic Submucosal Dissection Easier

Tsuneo Oyama

doi:10.5946/ce.2012.45.4.375

Articles

Page Path: HOME > Clin Endosc > Volume 45(4); 2012 > Article

Focused Review Series: Globalization and Universalization of ESD Counter Traction Makes Endoscopic Submucosal Dissection Easier: Tsuneo Oyama; Clinical Endoscopy 2012;45(4):375-378.
DOI: https://doi.org/10.5946/ce.2012.45.4.375
Published online: November 30, 2012

Department of Gastroenterology, Saku Central Hospital, Nagano, Japan.

Correspondence: Tsuneo Oyama. Department of Gastroenterology, Saku Central Hospital, 197 Usuda, Saku, Nagano 384-0301, Japan. Tel: +81-26-782-3131, Fax: +81-26-782-9638, oyama@coral.ocn.ne.jp

• Received: August 22, 2012 • Revised: October 11, 2012 • Accepted: October 14, 2012

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

8,610 Views
222 Download
118 Crossref
154 Scopus

prev next

Full Article

Download PDF

Abstract
INTRODUCTION
POSITION CHANGE
CLIP WITH LINE METHOD
EXTERNAL GRASPING FORCEPS METHOD
INTERNAL TRACTION METHOD
DOUBLE CHANNEL SCOPE METHOD
DOUBLE SCOPE METHOD
CONCLUSIONS
NOTES
REFERENCES

Abstract

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.
Keywords: Endoscopic submucosal dissection; Stomach neoplasms; Counterattraction; Surgical instruments

INTRODUCTION

There are some important factors that make endoscopic submucosal dissection (ESD) difficult such as the size of the tumor, fibrosis, bleeding, etc. However, the main factors that make ESD difficult are absence of counter traction and poor field of vision. Good counter traction allows for safe and speedy dissection. The key points to maintaining a good field of vision and counter traction are described in this paper.

POSITION CHANGE

The simplest method to get counter traction is position change. If the location of a lesion is situated so that gravity does not aid in the removal of blood and water, good counter traction cannot be obtained, and sometimes water and blood will interfere with the surgeon's field of vision. However, if the lesion is positioned to use gravity to keep the field of vision clear of blood and water the surgeon will have a clear field of vision. Additionally, gravity can be used to pull the mucosa which gives the surgeon adequate counter traction and further assists in creating a clear field of vision. Therefore, the patient should be positioned to make effective use of gravity during ESD.

Clip with sinker method increases the effects of gravity.1 A clip with sinker was attached to a target site at the edge of the exfoliated mucosa after circumferential mucosal incision. Then the weight of the sinker pulled down the partly resected mucosa allowing for good counter traction.

CLIP WITH LINE METHOD

If you can pull the target lesion, good counter traction can be made. The authors reported clip with line method in 2002.2 Figs. 1, 2 are reprints from the paper by permission of the publisher. It is a simple and useful method to make counter traction during ESD. A long, 3-0, silk line was tied to the arm part of the clip (HX-610-135; Olympus, Tokyo, Japan) (Fig. 3). Then the clip with line is reset in the cassette (Fig. 4).

The scope is withdrawn when the circumferential incision is finished (Figs. 5, 6). A clip applicator device (HX-110QR; Olympus) is inserted into the accessory channel of the endoscope, and the clip with line is mounted onto the tip of the applicator. Then the clip was drawn into the applicator device, and the applicator device is also drawn into the transparent hood for insertion into the endoscope.

The scope is inserted again, and the submucosal side of the target lesion is grasped (Fig. 7). After that the line is pulled very gently. Only a small amount of tension is required to create counter traction. This method also creates a clear field of vision (Figs. 8, 9). During submucosal dissection, tension is maintained with a 10-g sinker such as mouth piece. The 10-g sinker creates sufficient counter traction and tension without threatening to tear the submucosal layer.

If you want to pull the line to anal side, the pulley method is useful (Fig. 2). A second clip is inserted and opened just before the line. The line was captured by the second clip and fixed at the opposite side of the stomach. Then, the first clip could be pulled to the anal side with the second clip acting like a pulley. Recently, similar ideas have been reported from Asian endoscopists.3-5

The clip with line method is a simple and useful method not only for gastric ESD, but also for esophageal, colonic, and duodenal ESD.6 It is especially useful for esophageal and gastric ESD when the cancer exists in the greater curvature of the gastric body.

EXTERNAL GRASPING FORCEPS METHOD

The external grasping forceps are captured by the other grasping forceps inserted into the working channel. The external grasping forceps are inserted with the help of the other grasping forceps after the circumferential mucosal resection. After the external grasping forceps are anchored at the margin of the lesion and the second grasping forceps are released. The distance from the tip of the endoscope to the dissected site can be adjusted by not only pulling but also by pushing the grasping forceps. Then good counter traction can be made.7,8 Great care was taken to avoid injuring the mucosa, especially at the esophagocardial junction.

INTERNAL TRACTION METHOD

Some methods to make internal traction have been reported. It is different from the clip with line method, in that a set of two clips connected by a rubber ring or nylon line was used. The first clip with rubber ring or nylon line was attached at the target part after circumferential mucosal incision.9,10 After that, the second clip was attached at the opposite sides of the lesion. This pulls up the lesion and opens up the resection margin. This makes submucosal dissection easier. It is a simple and easy method, but the control of the traction power is sometimes difficult.

DOUBLE CHANNEL SCOPE METHOD

A grasping forceps inserted into a channel of a double-channel scope can make counter traction during ESD.11,12 An outer sheath of an injection needle is also useful to make counter traction.13 The bottom of the dissected mucosal layer was pushed and lifted up using the injection sheath to reveal the submucosal layer and to ensure adequate counter traction of the cutting lines.

The advantage of this method is that it requires only a conventional grasping forceps or injection sheath. The disadvantage of double channel scope method is thicker size and long radius of curvature. Additionally, it is sometimes difficult to insert it into submucosal layer, and maneuverability is poorer than a thin therapeutic scope during ESD.

DOUBLE SCOPE METHOD

Some methods using a second endoscopy have been reported.14-17 The direction of traction could be controlled easily with the double scope method. However, the second scope sometimes disturbs the maneuverability of the main scope. Therefore, a thin scope is recommended for the second scope.

CONCLUSIONS

The key point to make ESD safer and faster is creating a clear field of vision. A transparent hood is necessary to maintain visualization during ESD. A strategy to maintain a clear field of vision is also necessary for safe ESD. There are some methods that create adequate counter traction. Position change and clip with line method are the simplest and easiest methods.

NOTES

The author has no financial conflicts of interest.

REFERENCES

1. Saito Y, Emura F, Matsuda T, et al. A new sinker-assisted endoscopic submucosal dissection for colorectal cancer. Gastrointest Endosc 2005;62:297–301. 16046999.Article PubMed
2. Oyama T, Kikuchi Y, Shimaya S, et al. Endoscopic mucosal resection using a hooking knife (hooking EMR). Stomach Intest 2002;37:1155–1161.
3. Jeon WJ, You IY, Chae HB, Park SM, Youn SJ. A new technique for gastric endoscopic submucosal dissection: peroral traction-assisted endoscopic submucosal dissection. Gastrointest Endosc 2009;69:29–33. 19111686.Article PubMed
4. Li CH, Chen PJ, Chu HC, et al. Endoscopic submucosal dissection with the pulley method for early-stage gastric cancer (with video). Gastrointest Endosc 2011;73:163–167. 21030018.Article PubMed
5. Okamoto K, Muguruma N, Kitamura S, Kimura T, Takayama T. Endoscopic submucosal dissection for large colorectal tumors using a cross-counter technique and a novel large-diameter balloon overtube. Dig Endosc 2012;24(Suppl 1):96–99. 22533761.Article PubMed
6. Oyama T. Endoscopic submucosal dissection using a hook knife. Tech Gastrointest Endosc 2011;13:70–73.Article
7. Imaeda H, Iwao Y, Ogata H, et al. A new technique for endoscopic submucosal dissection for early gastric cancer using an external grasping forceps. Endoscopy 2006;38:1007–1010. 16673308.Article PubMed
8. Imaeda H, Hosoe N, Ida Y, et al. Novel technique of endoscopic submucosal dissection using an external grasping forceps for superficial gastric neoplasia. Dig Endosc 2009;21:122–127. 19691787.Article PubMed
9. Imaeda H, Hosoe N, Ida Y, et al. Novel technique of endoscopic submucosal dissection by using external forceps for early rectal cancer (with videos). Gastrointest Endosc 2012;75:1253–1257. 22624814.Article PubMed
10. Matsumoto K, Nagahara A, Sakamoto N, et al. A new traction device for facilitating endoscopic submucosal dissection (ESD) for early gastric cancer: the "medical ring". Endoscopy 2011;43(Suppl 2 UCTN):E67–E68. 21341187.Article PubMed
11. Chen PJ, Chu HC, Chang WK, Hsieh TY, Chao YC. Endoscopic submucosal dissection with internal traction for early gastric cancer (with video). Gastrointest Endosc 2008;67:128–132. 18054010.Article PubMed
12. Neuhaus H, Costamagna G, Deviere J, et al. Endoscopic submucosal dissection (ESD) of early neoplastic gastric lesions using a new double-channel endoscope (the "R-scope"). Endoscopy 2006;38:1016–1023. 17058167.Article PubMed
13. Yonezawa J, Kaise M, Sumiyama K, Goda K, Arakawa H, Tajiri H. A novel double-channel therapeutic endoscope ("R-scope") facilitates endoscopic submucosal dissection of superficial gastric neoplasms. Endoscopy 2006;38:1011–1015. 17058166.Article PubMed
14. Hijikata Y, Ogasawara N, Sasaki M, et al. Endoscopic submucosal dissection with sheath-assisted counter traction for early gastric cancers. Dig Endosc 2010;22:124–128. 20447206.Article PubMed
15. Uraoka T, Kato J, Ishikawa S, et al. Thin endoscope-assisted endoscopic submucosal dissection for large colorectal tumors (with videos). Gastrointest Endosc 2007;66:836–839. 17905031.Article PubMed
16. Uraoka T, Ishikawa S, Kato J, et al. Advantages of using thin endoscope-assisted endoscopic submucosal dissection technique for large colorectal tumors. Dig Endosc 2010;22:186–191. 20642607.Article PubMed
17. Ahn JY, Choi KD, Choi JY, et al. Transnasal endoscope-assisted endoscopic submucosal dissection for gastric adenoma and early gastric cancer in the pyloric area: a case series. Endoscopy 2011;43:233–235. 21165828.Article PubMed

Fig. 1

An illustration showing clip with line method. A clip with line was placed at the edge of the target lesion when the circumferential incision was completed. Good counter traction and a clear field of vision were obtained when the line was pulled very gently (reprinted from Oyama T, et al. Stomach Intest 2002;37:1155-1161, with permission).2

Fig. 2

The second clip can change the direction of traction (reprinted from Oyama T, et al. Stomach Intest 2002;37:1155-1161, with permission).2

Fig. 3

A long, 3-0, silk line was tied to the arm part of the clip.

Fig. 4

The clip with line is reset in the cassette. Then the clip with line can be set in the applicator like a usual clip.

Fig. 5

Endoscopy showed a well demarcated semicircumferential iodine unstaind lesion in the lower esophagus.

Fig. 6

The circumferential incision was completed. The next step is submucosal dissection. However, the field of vision was not clear enough because the submucosal space is narrow.

Fig. 7

The clip with line was placed at the submucosal side of the targeted specimen.

Fig. 8

A clear field of vision and adequate counter traction were gained when the line was pulled gently.

Fig. 9

Procedure after traction. (A, B) The movement of specimen could be stopped by the traction made by the line. Submucosal dissection was then performed more easily, safely, and quickly.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Adaptation of endoscopic submucosal dissection techniques for endoscopic full-thickness resection: a review of key steps and technical aspects
James Weiquan Li, Noriya Uedo, Satoki Shichijo
VideoGIE.2024; 9(2): 102. CrossRef
The usefulness of traction-assisted endoscopic papillectomy for ampullary early tumors(with video)
Jiao Xie, Donggui Hong, Chuanshen Jiang, Longping Chen, Dazhou Li, Wen Wang
Scandinavian Journal of Gastroenterology.2024; 59(4): 489. CrossRef
Efficacy, safety, and advantages of magnetic anchor–guided endoscopic submucosal dissection vs conventional endoscopic submucosal dissection: A retrospective paired cohort study
Jing Li, Guifang Lu, Yan Yin, Xinlan Lu, Feng Ma, Yi Lv, Shuixiang He, Mudan Ren
Journal of Gastrointestinal Surgery.2024; 28(4): 394. CrossRef
Is a traction device an almighty tool for overcoming the difficulties of endoscopic submucosal dissection?
Naohisa Yahagi
Endoscopy.2024;[Epub] CrossRef
Retroflexed endoscopic submucosal dissection of a lesion invading the pyloric ring, using a newly developed thin endoscope
Satoki Shichijo, Daiki Kitagawa, Yuya Asada, Shunsuke Yoshii, Noriya Uedo, Ryu Ishihara, Tomoki Michida
Endoscopy.2024; 56(S 01): E148. CrossRef
Curative criteria for endoscopic treatment of oesophageal squamous cell cancer
Toshiro Iizuka
Best Practice & Research Clinical Gastroenterology.2024; 68: 101894. CrossRef
Asymmetric Rolling Contact Joint for Enhanced Payload Capabilities
Jeongdo Ahn, Minho Hwang, Dukyoo Kong, Joonhwan Kim, Dong-Soo Kwon
IEEE/ASME Transactions on Mechatronics.2024; 29(1): 202. CrossRef
Sigmoidal Auxiliary Tendon-Driven Mechanism Reinforcing Structural Stiffness of Hyper-Redundant Manipulator for Endoscopic Surgery
Hansoul Kim, Jae Min You, Minho Hwang, Ki-Uk Kyung, Dong-Soo Kwon
Soft Robotics.2023; 10(2): 234. CrossRef
Outcomes of endoscopic submucosal dissection in patients who develop metachronous superficial esophageal squamous cell carcinoma close to a post-endoscopic submucosal dissection scar
Motomitsu Fukuhara, Yuji Urabe, Shiro Oka, Jyunichi Mizuno, Hidenori Tanaka, Ken Yamashita, Yuichi Hiyama, Hidehiko Takigawa, Takahiro Kotachi, Ryo Yuge, Koji Arihiro, Shinji Tanaka
Esophagus.2023; 20(1): 124. CrossRef
Initial Multicenter Experience of Traction Wire Endoscopic Submucosal Dissection
Abel Joseph, Michel Kahaleh, Andrew A. Li, Gregory B. Haber, Prashant Kedia, Mai Ego Makiguchi, Neil R. Sharma, Joo Ha Hwang, Amitabh Chak, Ahmad M. Al-Taee, David Braun, Shaffer Mok, Neal A. Mehta, Emre Gorgun, John Vargo, Seiichiro Abe, Yutaka Saito, Ty
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(1): 21. CrossRef
Randomized controlled trial comparing conventional and traction endoscopic submucosal dissection for early colon tumor (CONNECT‐C trial)
Ryoji Ichijima, Hisatomo Ikehara, Yorinobu Sumida, Taisuke Inada, Daiki Nemoto, Yuki Nakajima, Takeyoshi Minagawa, Tetsuya Sumiyoshi, Kazuya Inoki, Naohisa Yoshida, Ken Inoue, Masakatsu Fukuzawa, Yosuke Minoda, Koshiro Tsutsumi, Mitsuru Esaki, Takuji Goto
Digestive Endoscopy.2023; 35(1): 86. CrossRef
Development of a New Two-Arm Transurethral Surgical System for En Bloc Resection of Bladder Tumor: A Preclinical Study
Yoshinobu Komai, Kunihiko Nakajima, Kyosuke Saito, Yutaka Tomioka, Hitoshi Masuda, Akira Ogawa, Junji Yonese, Etsuko Kobayashi, Masaaki Ito
Journal of Endourology.2023; 37(2): 165. CrossRef
Endoscopic Submucosal Dissection in the Esophagus
Norio Fukami
Gastrointestinal Endoscopy Clinics of North America.2023; 33(1): 55. CrossRef
High proficiency of esophageal endoscopic submucosal dissection with a "tunnel + clip traction" strategy: a large French multicentric study
Sophie Stephant, Jérémie Jacques, Charlène Brochard, Romain Legros, Hugo Lepetit, Maximilien Barret, Alexandru Lupu, Florian Rostain, Jérôme Rivory, Thierry Ponchon, Mathieu Pioche, Timothée Wallenhorst
Surgical Endoscopy.2023; 37(3): 2359. CrossRef
Efficacy of a new traction method using ring-shaped thread for endoscopic submucosal dissection in the pharynx
Kenshi Matsuno, Hideaki Miyamoto, Takashi Shono, Kotaro Waki, Masakuni Tateyama, Hideaki Naoe, Satoru Miyamaru, Daizo Murakami, Yorihisa Orita, Jun Morinaga, Yasuhito Tanaka, Ryosuke Gushima
Esophagus.2023; 20(2): 256. CrossRef
Endoscopic surgery robot that facilitates insertion of the curved colon and ensures positional stability against external forces: K‐COLON
Hansoul Kim, Jae Min You, Ki‐Uk Kyung, Dong‐Soo Kwon
The International Journal of Medical Robotics and Computer Assisted Surgery.2023;[Epub] CrossRef
Impact of Traction Direction in Traction-Assisted Gastric Endoscopic Submucosal Dissection (with Videos)
Mitsuru Nagata, Masayuki Namiki, Tomoaki Fujikawa, Hiromi Munakata
Digestive Diseases and Sciences.2023; 68(6): 2531. CrossRef
Endoscopic Recognition and Resection of Malignant Colorectal Polyps
Natalie Wilson, Moamen Gabr, Mohammad Bilal
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(4): 385. CrossRef
Effects of traction methods in inexperienced endoscopists during colorectal endoscopic submucosal dissection
Bin Yang, Ping Yan, Xiacai Li, Huan Duan, Pinxiang Lu, Fei Jiang
Scandinavian Journal of Gastroenterology.2023; 58(9): 1056. CrossRef
Use of a novel dual-action traction device to facilitate endoscopic submucosal dissection
Salmaan Jawaid, Mohamed Othman, Tara Keihanian, Muhammad K. Hasan, Dennis Yang
VideoGIE.2023; 8(6): 224. CrossRef
Countertraction With the ProdiGI Traction Magnet Facilitates Colorectal ESD and Can Improve Patient Outcomes
Alanna Ebigbo, Mousa Ayoub, Sandra Nagl, Andreas Probst, Helmut Messmann
Techniques and Innovations in Gastrointestinal Endoscopy.2023; 25(3): 243. CrossRef
Safe and Efficient Procedures and Training System for Endoscopic Submucosal Dissection
Yu Kamitani, Kouichi Nonaka, Yoshitsugu Misumi, Hajime Isomoto
Journal of Clinical Medicine.2023; 12(11): 3692. CrossRef
Endoscopic resection for local residual or recurrent cancer after definitive chemoradiotherapy or radiotherapy for esophageal squamous cell carcinoma
Yasuhiro Tani, Ryu Ishihara, Noriko Matsuura, Yuki Okubo, Yushi Kawakami, Hirohisa Sakurai, Takahiko Nakamura, Katsunori Matsueda, Muneaki Miyake, Satoki Shichijo, Akira Maekawa, Takashi Kanesaka, Sachiko Yamamoto, Yoji Takeuchi, Koji Higashino, Noriya Ue
Scientific Reports.2023;[Epub] CrossRef
Pilot study on a new endoscopic platform for colorectal endoscopic submucosal dissection
Roberta Maselli, Marco Spadaccini, Piera Alessia Galtieri, Matteo Badalamenti, Elisa Chiara Ferrara, Gaia Pellegatta, Antonio Capogreco, Silvia Carrara, Andrea Anderloni, Alessandro Fugazza, Cesare Hassan, Alessandro Repici
Therapeutic Advances in Gastroenterology.2023;[Epub] CrossRef
Predictive Factors for the Outcome of Unsupervised Endoscopic Submucosal Dissection During the Initial Learning Curve with Prevalence-Based Indication
Ingo Steinbrück, Siegbert Faiss, Franz Ludwig Dumoulin, Tsuneo Oyama, Jürgen Pohl, Thomas von Hahn, Arthur Schmidt, Hans-Peter Allgaier
Digestive Diseases and Sciences.2023; 68(9): 3614. CrossRef
Magnetic anchor technique assisted endoscopic submucosal dissection for early esophageal cancer
Min Pan, Miao-Miao Zhang, Shu-Qin Xu, Yi Lyu, Xiao-Peng Yan
World Journal of Gastrointestinal Endoscopy.2023; 15(10): 584. CrossRef
Endoscopic submucosal dissection for a duodenal polyp at the upper aspect of the duodenal bulb using a newly developed endoscope
Satoki Shichijo, Yushi Kawakami, Atusko Kizawa, Daiki Kitagawa, Yasuhiro Tani, Yoji Takeuchi, Ryu Ishihara
VideoGIE.2023; 8(12): 509. CrossRef
Endoscopic submucosal dissection of recurrent, circumferential, distal rectal tumor with severe submucosal fibrosis using multiple clip-line tractions
Darshan Parekh, Yohei Minato, Ken Ohata, Ryoju Negishi, Nao Takeuchi, Shunya Takayanagi, Marina Kim, Suryaprakash Bhandari
VideoGIE.2023; 8(12): 515. CrossRef
Animal experimental study on magnetic anchor technique-assisted endoscopic submucosal dissection of early gastric cancer
Min Pan, Miao-Miao Zhang, Lin Zhao, Yi Lyu, Xiao-Peng Yan
World Journal of Gastrointestinal Endoscopy.2023; 15(11): 658. CrossRef
The efficacy and safety of multi-loop traction device for gastric endoscopic submucosal dissection: a single center prospective pilot study
Gen Kitahara, Toru Kaneko, Kenji Ishido, Yasuaki Furue, Takuya Wada, Akinori Watanabe, Satoshi Tanabe, Chika Kusano
Scientific Reports.2023;[Epub] CrossRef
Efficacy of early clip-with-line method for colorectal endoscopic submucosal dissection
Hideyuki Takashiro, Hirofumi Saito, Katsunobu Tawada, Yuhei Oyama, Shinichi Tazawa, Masatoshi Usui, Hiromasa Nomoto, Kazuhiko Kita
Surgical Endoscopy.2022; 36(1): 321. CrossRef
Endoscopic resection of esophageal squamous cell carcinoma: Current indications and treatment outcomes
Seiichiro Abe, Yuichiro Hirai, Takeshi Uozumi, Mai Ego Makiguchi, Satoru Nonaka, Haruhisa Suzuki, Shigetaka Yoshinaga, Ichiro Oda, Yutaka Saito
DEN Open.2022;[Epub] CrossRef
Advances in traction methods for endoscopic submucosal dissection: What is the best traction method and traction direction?
Mitsuru Nagata
World Journal of Gastroenterology.2022; 28(1): 1. CrossRef
Removal of a large jejunal laterally spreading tumor nongranular type by endoscopic submucosal dissection
Kengo Kasuga, Toshio Uraoka, Takashi Negishi, Keigo Sato, Hirohito Tanaka, Hiroko Hosaka, Shiko Kuribayashi
Endoscopy.2022; 54(10): E542. CrossRef
The safety and feasibility of endoscopic submucosal dissection using a flexible three‐dimensional endoscope for early gastric cancer and superficial esophageal cancer: A prospective observational study
Kensuke Shinmura, Yoichi Yamamoto, Atsushi Inaba, Kei Okumura, Keiichiro Nishihara, Kana Kumahara, Hironori Sunakawa, Yasuaki Furue, Renma Ito, Daiki Sato, Tatsunori Minamide, Masayuki Suyama, Kenji Takashima, Keiichiro Nakajo, Tatsuro Murano, Tomohiro Ka
Journal of Gastroenterology and Hepatology.2022; 37(4): 749. CrossRef
Endoscopic Submucosal Dissection for Gastric Tube Carcinoma after Esophagectomy Contributes to Long-Term Outcomes
Satoru Hashimoto, Hiroki Sato, Ken-ichi Mizuno, Kazuya Takahashi, Masafumi Takatsuna, Junji Yokoyama, Hiroshi Ichikawa, Manabu Takeuchi, Masaaki Kobayashi, Shuji Terai, Toshio Uraoka
Canadian Journal of Gastroenterology and Hepatology.2022; 2022: 1. CrossRef
Factors of technical difficulty in conventional and traction-assisted esophageal endoscopic submucosal dissection
Tomohiro Mitsui, Tomohiro Kadota, Masashi Wakabayashi, Keiichiro Nakajo, Kensuke Shinmura, Hironori Sunakawa, Daiki Sato, Tatsunori Minamide, Kenji Takashima, Tatsuro Murano, Yusuke Yoda, Hiroaki Ikematsu, Tomonori Yano
Esophagus.2022; 19(3): 452. CrossRef
Orthodontic Rubber Band-Assisted Endoscopic Submucosal Dissection: An Efficient Method for Treating Superficial Colorectal Tumors
Linfu Zheng, Wen Wang, Dazhou Li, Junguo Chen, Longping Chen, Rong Wang, Chuanshen Jiang, Guanpo Zhang, Yaping Hou, Jin Zheng, Yang Bai, Amosy M'Koma
Gastroenterology Research and Practice.2022; 2022: 1. CrossRef
Effectiveness of clip-and-thread traction-assisted duodenal endoscopic submucosal dissection: a propensity score–matched study (with video)
Tomoaki Tashima, Ryuhei Jinushi, Naoki Ishii, Tomonori Kawasaki, Kazuya Miyaguchi, Rie Terada, Yuya Nakano, Yumi Mashimo, Tomoya Ogawa, Akashi Fujita, Yuki Tanisaka, Masafumi Mizuide, Shomei Ryozawa
Gastrointestinal Endoscopy.2022; 95(5): 918. CrossRef
Colon Polypectomy with Endoscopic Submucosal Dissection and Endoscopic Full-Thickness Resection
Maham Hayat, Nabeel Azeem, Mohammad Bilal
Gastrointestinal Endoscopy Clinics of North America.2022; 32(2): 277. CrossRef
Randomized study of two endo-knives for the traction-assisted endoscopic submucosal dissection of early esophageal squamous cell carcinoma
Yoshiyasu Kitagawa, Asuka Ishigaki, Rino Nishii, Osamu Sugita, Takuto Suzuki
Scientific Reports.2022;[Epub] CrossRef
Traction method versus conventional endoscopic submucosal dissection for gastric epithelial neoplasms
Jun Kinoshita, Mikitaka Iguchi, Takao Maekita, Ke Wan, Toshio Shimokawa, Kazuhiro Fukatsu, Daisaku Ito, Shinya Taki, Masayuki Nishimoto, Masaki Takao, Yasuto Tabata, Yousuke Mukai, Masayuki Kitano
Medicine.2022; 101(13): e29172. CrossRef
Per anal endoscopic myectomy for rectal neuroendocrine tumor invading submucosal deep layer and ending at the muscle layer
Yoshiyasu Kitagawa, Asuka Ishigaki, Osamu Sugita, Takuto Suzuki
Endoscopy.2022; 54(S 02): E858. CrossRef
Successful resection of gastric cancer arising from a heterotopic gastric gland in the submucosa by endoscopic submucosal dissection
Yasuhiro Inokuchi, Kota Washimi, Mamoru Watanabe, Kei Hayashi, Yoshihiro Kaneta, Mitsuhiro Furuta, Nozomu Machida, Shin Maeda
Clinical Case Reports.2022;[Epub] CrossRef
Effectiveness of a novel traction device in endoscopic submucosal dissection for colorectal lesions
Xiao Liu, Xinying Yu, Yanbin Wang, Jianfeng Yu, Xinjuan Liu, Zhen Liu, Jianyu Hao
Surgical Endoscopy.2022; 36(11): 8021. CrossRef
Modified technique of tumor traction in endoscopic submucosal dissections in the stomach (ex vivo study)
A. N. Verbovsky, S. S. Pirogov, E. S. Vakurova, A. V. Semenkov, G. R. Setdikova, A. S. Balalykin
Experimental and Clinical Gastroenterology.2022; (5): 64. CrossRef
Tumor traction techniques in intraluminal endoscopic surgery of the digestive tract
A. N. Verbovsky, S. S. Pirogov, E. S. Vakurova, A. V. Semenkov, G. R. Setdikova, A. S. Balalykin
Experimental and Clinical Gastroenterology.2022; (5): 110. CrossRef
Optimal traction direction in traction-assisted gastric endoscopic submucosal dissection
Mitsuru Nagata
World Journal of Gastrointestinal Endoscopy.2022; 14(11): 667. CrossRef
Comparison Between Preincision Traction and On-Demand Traction in Assisting Colorectal Endoscopic Submucosal Dissection
Jun Li, Yunlei Wei, Di Zhang, Xiaojia Hou, Ming Shen, Kan Chen, Ruijin Wu, Kangsheng Peng, Feng Liu
Clinical and Translational Gastroenterology.2022; 13(12): e00539. CrossRef
Clinical benefit of the multibending endoscope for gastric endoscopic submucosal dissection: a randomized controlled trial
Koichi Hamada, Yoshinori Horikawa, Yoshiki Shiwa, Kae Techigawara, Takayuki Nagahashi, Daizo Fukushima, Shinya Nishida, Ryota Koyanagi, Koichiro Kawano, Noriyuki Nishino, Michitaka Honda
Endoscopy.2021; 53(07): 683. CrossRef
A novel training model to simulate thread traction in colorectal endoscopic submucosal dissection – a video vignette
Shih‐Feng Huang, Chao‐Wen Hsu
Colorectal Disease.2021; 23(4): 1012. CrossRef
Current Trends in Endoscopic Diagnosis and Treatment of Early Esophageal Cancer
Franz Ludwig Dumoulin, Ralf Hildenbrand, Tsuneo Oyama, Ingo Steinbrück
Cancers.2021; 13(4): 752. CrossRef
Cutting-Edge Technologies for Gastrointestinal Therapeutic Endoscopy
Osamu Goto, Eriko Koizumi, Kazutoshi Higuchi, Hiroto Noda, Takeshi Onda, Jun Omori, Mitsuru Kaise, Katsuhiko Iwakiri
Journal of Nippon Medical School.2021; 88(1): 17. CrossRef
Usefulness of endoscopic submucosal dissection for superficial esophageal squamous cell carcinoma in elderly patients: a single-center retrospective cohort study
Kenji Ishido, Satoshi Tanabe, Chikatoshi Katada, Yo Kubota, Yasuaki Furue, Takuya Wada, Akinori Watanabe, Wasaburo Koizumi
Japanese Journal of Clinical Oncology.2021; 51(6): 895. CrossRef
A Clip-with-Line Traction Suture Method for Closing Mucosal Defects after Endoscopic Submucosal Dissection
Chong Wang, Yiting Wang, Yuanyuan Li, Sheng Zeng, Youxiang Chen, Guohua Li, Konstantinos Triantafyllou
Gastroenterology Research and Practice.2021; 2021: 1. CrossRef
The who, what, where, how, and why of endoscopic submucosal dissection in Canada: A survey among Canadian endoscopists
Mandip Rai, Douglas Motomura, Lawrence Hookey, Mainor R Antillon, Robert Bechara
JGH Open.2021; 5(7): 734. CrossRef
Evaluation of improved bi-manual endoscopic resection using a customizable 3D-printed manipulator system designed for use with standard endoscopes: a feasibility study using a porcine ex-vivo model
Benjamin Walter, Yannick S. Krieger, Dirk Wilhelm, Hubertus Feussner, Tim C. Lueth, Alexander Meining
Endoscopy International Open.2021; 09(06): E881. CrossRef
Prevention and Management of Complications and Education in Endoscopic Submucosal Dissection
Yoshitsugu Misumi, Kouichi Nonaka
Journal of Clinical Medicine.2021; 10(11): 2511. CrossRef
Colorectal Endoscopic Submucosal Dissection: An Update on Best Practice
Tara Keihanian, Mohamed O Othman
Clinical and Experimental Gastroenterology.2021; Volume 14: 317. CrossRef
Endoscopic submucosal dissection: How to be more efficient?
Thomas Lambin, Jérôme Rivory, Timothée Wallenhorst, Romain Legros, Frédéric Monzy, Jérémie Jacques, Mathieu Pioche
Endoscopy International Open.2021; 09(11): E1720. CrossRef
Endoscopic Submucosal Dissection Using EndoTrac, a Novel Traction Device
Hidetoshi Kaku, Takashi Toyonaga, Shinwa Tanaka, Hiroshi Takihara, Shinichi Baba, Eiji Tsubouchi, Yoshio Ikeda, Hitoshi Orita, Manabu Nakamoto, Yohei Horikawa, Hiroki Chiba, Hiromitsu Ban, Youhei Furumoto, Ryushin Morita, Yuzo Kodama
Digestion.2021; 102(5): 714. CrossRef
Comparable Data Between Double Endoscopic Intraluminal Operation and Conventional Endoscopic Submucosal Dissection for Esophageal Cancer
Makoto Sohda, Kengo Kuriyama, Tomonori Yoshida, Yuji Kumakura, Hiroaki Honjo, Makoto Sakai, Tatsuya Miyazaki, Hiroyuki Kuwano
Journal of Gastrointestinal Surgery.2020; 24(2): 307. CrossRef
Multiloop as a novel traction method in accelerating colorectal endoscopic submucosal dissection
Yuichiro Suzuki, Tokuma Tanuma, Masanori Nojima, Gota Sudo, Masakazu Akahonai, Hidetaka Hamamoto, Hironori Aoki, Taku Harada, Akio Katanuma, Hiroshi Nakase
Gastrointestinal Endoscopy.2020; 91(1): 185. CrossRef
Clip‐with‐line traction method allows efficient endoscopic submucosal dissection of an early gastric cancer spreading across the pyloric ring
Sho Sasaki, Jun Nishikawa, Isao Sakaida
Digestive Endoscopy.2020;[Epub] CrossRef
Traction-assisted endoscopic submucosal dissection in the esophagus: Should we all be flossing?
Dushant S. Uppal, Andrew Y. Wang
Gastrointestinal Endoscopy.2020; 91(1): 66. CrossRef
Review on colorectal endoscopic submucosal dissection focusing on the technical aspect
Tak Lit Derek Fung, Chi Woo Samuel Chow, Pak Tat Chan, Kam Hung Kwok
Surgical Endoscopy.2020; 34(9): 3766. CrossRef
Methods that Assist Traction during Endoscopic Submucosal Dissection of Superficial Gastrointestinal Cancers: A Systematic Literature Review
Georgios Tziatzios, Alanna Ebigbo, Stefan Karl Gölder, Andreas Probst, Helmut Messmann
Clinical Endoscopy.2020; 53(3): 286. CrossRef
EMR/ESD: Techniques, Complications, and Evidence
Yahya Ahmed, Mohamed Othman
Current Gastroenterology Reports.2020;[Epub] CrossRef
Clip with thread attachment prior to incision – new strategy for traction-assisted esophageal endoscopic submucosal dissection
Shuichi Miyamoto, Tomohiko R. Ohya, Masayuki Higashino, Kazuteru Hatanaka, Yoshiya Yamamoto, Hirohito Naruse, Naoya Sakamoto
Endoscopy.2020; 52(09): E328. CrossRef
Wider downward angle of the GIF-H290T endoscope improves operability in esophageal endoscopic submucosal dissection
Koichi Hamada, Yoshinori Horikawa, Ryota Koyanagi, Yoshiki Shiwa, Kae Techigawara, Shinya Nishida, Daizo Fukushima, Noriyuki Nishino, Michitaka Honda
Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(3): 91. CrossRef
Side-loop method easily enables dual traction during gastric endoscopic submucosal dissection
Sho Sasaki, Jun Nishikawa, Kazuhiro Yamamoto, Isao Sakaida
Endoscopy International Open.2020; 08(10): E1439. CrossRef
Long-Term Outcomes of Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Cell Carcinoma
Toshihiro Nishizawa, Hidekazu Suzuki
Cancers.2020; 12(10): 2849. CrossRef
Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection
Seiichiro Abe, Shih Yea Sylvia Wu, Mai Ego, Hiroyuki Takamaru, Masau Sekiguchi, Masayoshi Yamada, Satoru Nonaka, Taku Sakamoto, Haruhisa Suzuki, Shigetaka Yoshinaga, Takahisa Matsuda, Ichiro Oda, Yutaka Saito
Gut and Liver.2020; 14(6): 673. CrossRef
Traction‐assisted esophageal endoscopic submucosal dissection for treatment of squamous cell carcinoma involving a diverticulum
Yosuke Tsuji, Itaru Saito, Kazuhiko Koike
Digestive Endoscopy.2019;[Epub] CrossRef
Efficacy and safety of an internal magnet traction device for endoscopic submucosal dissection: ex vivo study in a porcine model (with video)
Akira Dobashi, Andrew C. Storm, Louis M. Wong Kee Song, Christopher J. Gostout, Jodie L. Deters, Charles A. Miller, Mary A. Knipschield, Elizabeth Rajan
Surgical Endoscopy.2019; 33(2): 663. CrossRef
Novel approach to endoscopic submucosal dissection of a large gastroesophageal junction mass by use of the mucosal bridge technique
Salmaan Jawaid, Dennis Yang, Peter V. Draganov
VideoGIE.2019; 4(6): 249. CrossRef
An internal magnet traction device reduces procedure time for endoscopic submucosal dissection by expert and non-expert endoscopists: ex vivo study in a porcine colorectal model (with video)
Akira Dobashi, Andrew C. Storm, Louis M. Wong Kee Song, Jodie L. Deters, Charles A. Miller, Crystal J. Tholen, Christopher J. Gostout, Elizabeth Rajan
Surgical Endoscopy.2019; 33(8): 2696. CrossRef
Efficacy of Endoscopic Submucosal Dissection of Esophageal Neoplasms under General Anesthesia
Koichi Hamada, Koichiro Kawano, Atsushi Yamauchi, Ryota Koyanagi, Yoshinori Horikawa, Shinya Nishida, Yoshiki Shiwa, Noriyuki Nishino, Michitaka Honda
Clinical Endoscopy.2019; 52(3): 252. CrossRef
Novel pre‐incision clip and traction method for colorectal endoscopic submucosal dissection
Koichiro Kawaguchi, Yuichiro Ikebuchi, Hajime Isomoto
Digestive Endoscopy.2019;[Epub] CrossRef
UEG Week 2019 Poster Presentations

United European Gastroenterology Journal.2019; 7(S8): 189. CrossRef
Safety and efficacy of endoscopic submucosal dissection using IT knife nano with clip traction method for early esophageal squamous cell carcinoma
Yoshiyasu Kitagawa, Takuto Suzuki, Taro Hara, Taketo Yamaguchi
Surgical Endoscopy.2018; 32(1): 450. CrossRef
Conventional versus traction-assisted endoscopic submucosal dissection for gastric neoplasms: a multicenter, randomized controlled trial (with video)
Masao Yoshida, Kohei Takizawa, Sho Suzuki, Yoshiki Koike, Satoru Nonaka, Yasushi Yamasaki, Takeyoshi Minagawa, Chiko Sato, Chihiro Takeuchi, Ko Watanabe, Hiromitsu Kanzaki, Hiroyuki Morimoto, Takafumi Yano, Kosuke Sudo, Keita Mori, Takuji Gotoda, Hiroyuki
Gastrointestinal Endoscopy.2018; 87(5): 1231. CrossRef
Efficacy of traction‐assisted colorectal endoscopic submucosal dissection using a clip‐and‐thread technique: A prospective randomized study
Yasushi Yamasaki, Yoji Takeuchi, Noriya Uedo, Takashi Kanesaka, Minoru Kato, Kenta Hamada, Yusuke Tonai, Noriko Matsuura, Tomofumi Akasaka, Noboru Hanaoka, Koji Higashino, Ryu Ishihara, Hiroyuki Okada, Hiroyasu Iishi
Digestive Endoscopy.2018; 30(4): 467. CrossRef
Gastric endoscopic submucosal dissection via gastrostoma before the second operation for esophageal perforation: A case report
Takuma Sasaki, Masaya Uesato, Takumi Ohta, Kentarou Murakami, Akira Nakano, Hisahiro Matsubara
World Journal of Gastrointestinal Endoscopy.2018; 10(6): 121. CrossRef
Traction‐assisted endoscopic submucosal dissection for a giant rectal tumor: Multiple clip‐and‐threads technique
Yasushi Yamasaki, Keita Harada, Hiroyuki Okada
Digestive Endoscopy.2018; 30(5): 697. CrossRef
Technical feasibility and oncologic safety of diagnostic endoscopic resection for superficial esophageal cancer
Masashi Takeuchi, Koichi Suda, Yasuo Hamamoto, Motohiko Kato, Shuhei Mayanagi, Kayo Yoshida, Kazumasa Fukuda, Rieko Nakamura, Norihito Wada, Hirofumi Kawakubo, Hiroya Takeuchi, Naohisa Yahagi, Yuko Kitagawa
Gastrointestinal Endoscopy.2018; 88(3): 456. CrossRef
Usefulness of the clip-flap method of endoscopic submucosal dissection: A randomized controlled trial
Hiromitsu Ban, Mitsushige Sugimoto, Taketo Otsuka, Masaki Murata, Toshiro Nakata, Hiroshi Hasegawa, Osamu Inatomi, Shigeki Bamba, Akira Andoh
World Journal of Gastroenterology.2018; 24(35): 4077. CrossRef
Pulley traction-assisted colonic endoscopic submucosal dissection affords good visibility of submucosal layer
Satoki Shichijo, Kenshi Matsuno, Yoji Takeuchi, Noriya Uedo, Ryu Ishihara
VideoGIE.2018; 3(11): 358. CrossRef
Application of clip traction in endoscopic submucosal dissection to the treatment of early esophageal carcinoma and precancerous lesions
Xia Xie, Jian-Ying Bai, Chao-Qiang Fan, Xin Yang, Xiao-Yan Zhao, Hui Dong, Shi-Ming Yang, Jing Yu
Surgical Endoscopy.2017; 31(1): 462. CrossRef
Novel effective and repeatedly available ring-thread counter traction for safer colorectal endoscopic submucosal dissection
Hirohito Mori, Hideki Kobara, Noriko Nishiyama, Shintaro Fujihara, Tae Matsunaga, Tsutomu Masaki
Surgical Endoscopy.2017; 31(7): 3040. CrossRef
The “tunnel + clip” strategy standardised and facilitates oesophageal ESD procedures: a prospective, consecutive bi-centric study
Jérémie Jacques, Romain Legros, Jérome Rivory, Aurélie Charissoux, Denis Sautereau, Thierry Ponchon, Mathieu Pioche
Surgical Endoscopy.2017; 31(11): 4838. CrossRef
Efficacy and safety of endoscopic submucosal tunnel dissection for superficial esophageal squamous cell carcinoma: a propensity score matching analysis
Rui Huang, Hongwei Cai, Xin Zhao, Xiaoqiang Lu, Min Liu, Wenhao Lv, Zhiguo Liu, Kaichun Wu, Ying Han
Gastrointestinal Endoscopy.2017; 86(5): 831. CrossRef
Robot assisted tumor resection devices
Yutaka Saito, Kazuki Sumiyama, Philip Wai-yan CHIU
Expert Review of Medical Devices.2017; 14(8): 657. CrossRef
Magnetic anchor guidance for endoscopic submucosal dissection and other endoscopic procedures
Mohamed Mortagy, Neal Mehta, Mansour A Parsi, Seiichiro Abe, Tyler Stevens, John J Vargo, Yutaka Saito, Amit Bhatt
World Journal of Gastroenterology.2017; 23(16): 2883. CrossRef
Insulated tip knife tunneling technique with clip line traction for safe endoscopic submucosal dissection of large circumferential esophageal cancer
Seiichiro Abe, Ichiro Oda, Haruhisa Suzuki, Shigetaka Yoshinaga, Yutaka Saito
VideoGIE.2017; 2(12): 342. CrossRef
Recent Development of Techniques and Devices in Colorectal Endoscopic Submucosal Dissection
Hiroya Mizutani, Satoshi Ono, Daisuke Ohki, Chihiro Takeuchi, Seiichi Yakabi, Yosuke Kataoka, Itaru Saito, Yoshiki Sakaguchi, Chihiro Minatsuki, Yosuke Tsuji, Keiko Niimi, Shinya Kodashima, Nobutake Yamamichi, Mitsuhiro Fujishiro, Kazuhiko Koike
Clinical Endoscopy.2017; 50(6): 562. CrossRef
Efficacy of endoscopic submucosal dissection with dental floss clip traction for gastric epithelial neoplasia: a pilot study (with video)
Masao Yoshida, Kohei Takizawa, Hiroyuki Ono, Kimihiro Igarashi, Shinya Sugimoto, Noboru Kawata, Masaki Tanaka, Naomi Kakushima, Sayo Ito, Kenichiro Imai, Kinichi Hotta, Hiroyuki Matsubayashi
Surgical Endoscopy.2016; 30(7): 3100. CrossRef
Feasibility of Simple Traction Technique for Rectal Endoscopic Submucosal Dissection
Yasushi Yamasaki, Yoji Takeuchi, Noriya Uedo, Minoru Kato, Kenta Hamada, Yusuke Tonai, Noriko Matsuura, Takashi Kanesaka, Tomofumi Akasaka, Noboru Hanaoka, Koji Higashino, Ryu Ishihara, Hiroyasu Iishi
Digestive Diseases and Sciences.2016; 61(7): 2127. CrossRef
What is the best therapeutic strategy for colonoscopy of colorectal neoplasia? Future perspectives from the East
Satoshi Shinozaki, Yoshikazu Hayashi, Alan Kawarai Lefor, Hironori Yamamoto
Digestive Endoscopy.2016; 28(3): 289. CrossRef
Scheme of counter-traction for Endoscopic submucosal dissection
Kazuya Sumi, Haruo Ikeda, Haruhiro Inoue
Progress of Digestive Endoscopy.2016; 89(1): 62. CrossRef
Recent traction methods for endoscopic submucosal dissection
Kunihiro Tsuji, Naohiro Yoshida, Hiroyoshi Nakanishi, Kenichi Takemura, Shinya Yamada, Hisashi Doyama
World Journal of Gastroenterology.2016; 22(26): 5917. CrossRef
Salvage endoscopic resection as a treatment for locoregional failure or recurrence following chemoradiotherapy or radiotherapy for esophageal cancer
RIEKO NAKAMURA, TAI OMORI, HIROYA TAKEUCHI, HIROFUMI KAWAKUBO, TSUNEHIRO TAKAHASHI, NORIHITO WADA, YOSHIRO SAIKAWA, YUKO KITAGAWA
Oncology Letters.2016; 11(6): 3631. CrossRef
Endoscopic submucosal dissection
John T. Maple, Barham K. Abu Dayyeh, Shailendra S. Chauhan, Joo Ha Hwang, Sri Komanduri, Michael Manfredi, Vani Konda, Faris M. Murad, Uzma D. Siddiqui, Subhas Banerjee
Gastrointestinal Endoscopy.2015; 81(6): 1311. CrossRef
Usefulness of the thread‐traction method in esophageal endoscopic submucosal dissection: Randomized controlled trial
Yoshiki Koike, Dai Hirasawa, Naotaka Fujita, Yuki Maeda, Tetsuya Ohira, Yoshihiro Harada, Kenjiro Suzuki, Taku Yamagata, Megumi Tanaka
Digestive Endoscopy.2015; 27(3): 303. CrossRef
Clinical outcomes of endoscopic resection for gastric neoplasms in the pylorus
Eun Jeong Gong, Do Hoon Kim, Hwoon-Yong Jung, Young Kwon Choi, Hyun Lim, Kwi-Sook Choi, Ji Yong Ahn, Jeong Hoon Lee, Kee Don Choi, Ho June Song, Gin Hyug Lee, Jin-Ho Kim
Surgical Endoscopy.2015; 29(12): 3491. CrossRef
Effect of Endoscopic Submucosal Dissection for Superficial Esophageal Neoplasms and Risk Factors for Postoperative Stricture
Keita Funakawa, Hirofumi Uto, Fumisato Sasaki, Yuichiro Nasu, Seiichi Mawatari, Shiho Arima, Junichi Nakazawa, Hiroki Taguchi, Shinichi Hashimoto, Shuji Kanmura, Hitoshi Setoyama, Masatsugu Numata, Hirohito Tsubouchi, Akio Ido
Medicine.2015; 94(1): e373. CrossRef
Is the Endoscopic Grasp-and-Traction Device Useful for Endoscopic Submucosal Dissection in Treating Early Gastric Cancer?
Joo Young Cho
Clinical Endoscopy.2015; 48(3): 181. CrossRef
Colorectal endoscopic submucosal dissection: Technical advantages compared to endoscopic mucosal resection and minimally invasive surgery
Yutaka Saito, Masayoshi Yamada, Eriko So, Seiichiro Abe, Taku Sakamoto, Takeshi Nakajima, Yosuke Otake, Akiko Ono, Takahisa Matsuda
Digestive Endoscopy.2014; 26(S1): 52. CrossRef
Endoscopic Submucosal Dissection Using a Novel Versatile Knife: An Animal Feasibility Study (with Video)
Chang-Il Kwon, Gwangil Kim, Il-Kwun Chung, Won Hee Kim, Kwang Hyun Ko, Sung Pyo Hong, Seok Jeong, Don Haeng Lee
Clinical Endoscopy.2014; 47(6): 544. CrossRef
International Digestive Endoscopy Network 2014: Turnpike to the Future
Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
Clinical Endoscopy.2014; 47(5): 371. CrossRef
Esophageal ESD
Tsuneo Oyama
Gastrointestinal Endoscopy Clinics of North America.2014; 24(2): 201. CrossRef
Advanced endoscopic submucosal dissection with traction
Hiroyuki Imaeda
World Journal of Gastrointestinal Endoscopy.2014; 6(7): 286. CrossRef
ESD training: A challenging path to excellence
Alberto Herreros de Tejada
World Journal of Gastrointestinal Endoscopy.2014; 6(4): 112. CrossRef
Endoscopic Submucosal Dissection (ESD) in Colorectal Tumors
Franz Ludwig Dumoulin, Bernd Sido, Reinhard Bollmann, Malte Sauer
Visceral Medicine.2014; 30(1): 39. CrossRef
Debates on Colorectal Endoscopic Submucosal Dissection - Traction for Effective Dissection: Gravity Is Enough
Bo-In Lee
Clinical Endoscopy.2013; 46(5): 467. CrossRef
Effects of Endoscopic Mucosal Resection in Patients with Low-Grade Intraepithelial Dysplasia of Esophageal Squamous Cells
Hao Li, Juan Li Cheng, Ning Ning Dong, Chun Yong Cui, Tao Yu Diao, Xue Rui Zhou
Digestive Surgery.2013; 30(4-6): 302. CrossRef
What we want for ESD is a second hand! Traction method
Norio Fukami
Gastrointestinal Endoscopy.2013; 78(2): 274. CrossRef
Repeat endoscopic submucosal dissection for recurrent gastric cancers after endoscopic submucosal dissection
Yuto Shimamura
World Journal of Gastrointestinal Endoscopy.2013; 5(12): 600. CrossRef

PubReader
ePub Link

Cite

CITE: export Copy Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format: