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Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection

Hiroyuki Takamaru|Yutaka Saito|Seiichiro Abe|Shih Yea Sylvia Wu|Mai Ego|Masau Sekiguchi|Masayoshi Yamada|Satoru Nonaka|Taku Sakamoto|Haruhisa Suzuki|Shigetaka Yoshinaga|Takahisa Matsuda|Ichiro Oda
거트앤리버 소화기연관학회협의회|2020.11|Gut and Liver|제14권 제6호|pp. 673-684|DOI 10.5009/gnl19266

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참고문헌

키워드

Colorectal neoplasmsEsophageal neoplasmsTractionEndoscopic submucosal dissectionEarly gastric cancer

초록

This systematic review aimed to assess the efficacy of the current approach to tissue traction during the endoscopic submucosal dissection (ESD) of superficial esophageal cancer, early gastric cancer, and colorectal neoplasms. We performed a systematic electronic literature search of articles published in PubMed and selected comparative studies to investigate the treatment outcomes of tractionassisted versus conventional ESD. Using the keywords, we retrieved 381 articles, including five eligible articles on the esophagus, 13 on the stomach, and 12 on the colorectum. A total of seven randomized controlled trials and 23 retrospective studies were identified. Clip line traction and submucosal tunneling were effective in reducing the procedural time during esophageal ESD. The efficacy of traction methods in gastric ESD varied in terms of the devices and strategies used depending on the lesion location and degree of submucosal fibrosis. Several prospective and retrospective studies utilized traction devices without the need to reinsert the colonoscope. When pocket creation is included, the traction devices and methods effectively shorten the procedural time during colorectal ESD. Although the efficacy is dependent on the organ and tumor locations, several traction techniques have been demonstrated to be efficacious in facilitating ESD by maintaining satisfactory traction during dissection.

Abstract

This systematic review aimed to assess the efficacy of the current approach to tissue traction during the endoscopic submucosal dissection (ESD) of superficial esophageal cancer, early gastric cancer, and colorectal neoplasms. We performed a systematic electronic literature search of articles published in PubMed and selected comparative studies to investigate the treatment outcomes of tractionassisted versus conventional ESD. Using the keywords, we retrieved 381 articles, including five eligible articles on the esophagus, 13 on the stomach, and 12 on the colorectum. A total of seven randomized controlled trials and 23 retrospective studies were identified. Clip line traction and submucosal tunneling were effective in reducing the procedural time during esophageal ESD. The efficacy of traction methods in gastric ESD varied in terms of the devices and strategies used depending on the lesion location and degree of submucosal fibrosis. Several prospective and retrospective studies utilized traction devices without the need to reinsert the colonoscope. When pocket creation is included, the traction devices and methods effectively shorten the procedural time during colorectal ESD. Although the efficacy is dependent on the organ and tumor locations, several traction techniques have been demonstrated to be efficacious in facilitating ESD by maintaining satisfactory traction during dissection.

참고문헌 (52)

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관련 논문AI추천

Methods that Assist Traction during Endoscopic Submucosal Dissection of Superficial Gastrointestinal Cancers: A Systematic Literature ReviewAlanna Ebigbo, Andreas Probst, Georgios Tziatzios, Helmut Messmann, Stefan Karl Gölder대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제3호Counter Traction Makes Endoscopic Submucosal Dissection EasierTsuneo Oyama대한소화기내시경학회 · Clinical Endoscopy2012 · 제45권 제4호Efficacy of the pocket-creation method with a traction device in endoscopic submucosal dissection for residual or recurrent colorectal lesionsAkiko Chino, Akio Nakashima, Chihiro Yasue, Daisuke Ide, Eisuke Nakao, Junki Tokura, Junko Fujisaki, Keigo Suzuki, Masahiro Igarashi, Masayuki Saruta, Mitsuaki Ishioka, Seiichi Yakabi, Shoichi Saito, Tomohiko Richard Ohya, Yuki Mitsuyoshi, Yuri Enomoto대한소화기내시경학회 · Clinical Endoscopy2022 · 제55권 제5호Is the Endoscopic Grasp-and-Traction Device Useful for Endoscopic Submucosal Dissection in Treating Early Gastric Cancer?조주영대한소화기내시경학회 · Clinical Endoscopy2015 · 제48권 제3호Safety and efficacy of hybrid versus conventional endoscopic submucosal dissection for removal of gastrointestinal lesions: A meta-analysisAdil Ahmed, Adnan Bhat, Ali Naseem, Allah Dad, Anchit Chauhan, Danyal Bakht, Dennis Yang, Faseeh Haider, Humza Saeed, Imran Ali Reshi, Kinza Bakht, Muhammad Arham, Peter Vassilev Draganov, Saniya Ishtiaq, Zahra Ali소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2025 · 제14권 제4호Endoscopic submucosal dissection in the WestAlexander Podboy, Shai Friedland소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2019 · 제8권 제3호

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