Complete closure of mucosal defect after colonic endoscopic submucosal dissection using clip with a silicone traction band

Spray coagulation reduces the use of hemostatic forceps for intraoperative bleeding in gastric endoscopic submucosal dissection

“…Due to no robust evidence published in papers, we forcibly calculated the referable sample size using previous evidence which was shown in an abstract for a domestic congress before the initiation of the analysis 25 . In this abstract, the use of hemostatic forceps was decreased by 50% in gastric ESD by the continuous use of spray coagulation throughout the submucosal dissection.…”

Hemostatic efficacy of a novel self‐assembling peptide gel for delayed bleeding following colorectal endoscopic submucosal dissection with complete endoscopic defect closure

“…En‐bloc resection was achieved without intraoperative complications. Considering the increased risk of delayed bleeding due to continuous rivaroxaban use for atrial fibrillation, endoscopic closure was performed to seal the post‐ESD mucosal defect 3 . Complete closure was achieved using 10 clips and two bands (SureClip Traction Band, Micro‐Tech, Nanjing, China; SureClip, Micro‐Tech; EZ Clip, Olympus, Tokyo, Japan).…”

“…Considering the increased risk of delayed bleeding due to continuous rivaroxaban use for atrial fibrillation, endoscopic closure was performed to seal the post-ESD mucosal defect. 3 Complete closure was achieved using 10 clips and two bands (SureClip Traction Band, Micro-Tech, Nanjing, China; SureClip, Micro-Tech; EZ Clip, Olympus, Tokyo, Japan). Despite fasting instructions, the patient experienced massive hematochezia in the morning on the 3rd day after ESD.…”

Novel clip method for endoscopic submucosal dissection defect closure reducing submucosal dead space in antithrombotic gastric patients

“…While there have been several reports of suture methods using clips or endoscopic instruments, these approaches tend to cause submucosal dead space because they draw the mucosal layer 4 5 . The method minimizes submucosal dead space by crimping the muscular layer instead of pulling the mucosa.…”

“…Following ESD, the patient resumed taking edoxaban on the day after the procedure without experiencing any posterior bleeding or delayed perforation. While there have been several reports of suture methods using clips or endoscopic instruments, these approaches tend to cause submucosal dead space because they draw the mucosal layer [4,5]. The method minimizes submucosal dead space by crimping the muscular layer instead of pulling the mucosa.…”