Endoscopic resection using adaptive traction for a large recurrence after a full-thickness transanal endoscopic microsurgery: improving exposure is a key point for complete removal

Endoscopic submucosal dissection for residual gastric lesion made easier thanks to use of adaptative traction device

“…In previous cases we reported the benefits of using a new adaptative multipolar traction system (A-TRACT) in different challenging resections. This device facilitates the dissection phase through exposing the submucosa and accelerating the procedure 2 3 4 5 .…”

“…In previous cases we reported the benefits of using a new adaptative multipolar traction system (A-TRACT) in different challenging resections. This device facilitates the dissection phase through exposing the submucosa and accelerating the procedure [2][3][4][5]. After circumferential incision with large margins and submucosal trimming, an adaptative traction device (A-TRACT 2) was used to improve submucosal exposure (▶ Fig.…”

A simple and low impact glove tip to achieve colonic endoscopic submucosal dissection with adaptive traction in patients with stoma

“…Herein, we report two cases of patients with a sigmoid stoma for distal cancer who also had a second superficial lesion in the colon, justifying a quick R0 endoscopic resection to obtain histology before management of the more advanced distal lesion. Those colonic lesions were resected successfully with ESD using an adaptative traction device (A-TRACT) whose benefits in ESD have already been reported [1][2][3][4][5] (▶ Video 1). The first case is an 83-year-old patient with a large (60 mm), granular laterally spreading tumor granular (LST) with a macro-nodule located in the right flexure.…”