Endoscopic submucosal dissection of colonic residual laterally spreading tumor with adaptive traction: use of the additional loops to improve traction focally in difficult area

Endoscopic submucosal dissection of a quasi-circumferential lesion of the ileo-cecal valve by using a novel adjustable traction device

“…We have developed an intensity-modulated multitraction device 3 4 5 , the A-TRACT 2 + 2 ( Fig. 1 ), which seems very promising for ileo-cecal valve lesions because it allows good exposure of the ileal part of the lesion.…”

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

“…This lesion invaded the anal verge. An adaptive traction device (A-TRACT 2 + 2, Hospices Civils de Lyon) was used to improve exposure of the area 2 3 4 following the current strategy of setup 5 . After circumferential incision, the first two loops were placed at the oral and anal edges of the target area ( Video 1 ), and initial dissection and trimming were done using only the auto-traction on these two sides.…”

Endoscopic submucosal dissection of a large sessile serrated lesion recurrence using an adaptive traction device

“…The margins of the lesion were delineated using i-SCAN digital contrast (Pentax, Tokyo, Japan) on a therapeutic colonoscope (E34i10). An adaptive traction device (A-TRACT 2 + 2; Hospices Civils de Lyon) was used to improve the exposure of the area 2 3 4 , according to the current setup strategy 5 . After a circumferential incision with large margins (to fix the clips onto normal tissue) had been made, the first two loops were placed at the oral and anal edges of the target area ( Video 1 ), then the two additional loops were placed on the two side edges and the rubber band was fixed to the opposite wall to get 90° traction.…”