Endoscopic submucosal dissection of large colorectal tumors by using a novel spring-action S-O clip for traction (with video)

Endoscopic submucosal dissection with or without snaring for colorectal neoplasms

“…To address these issues, modifications to the ESD technique have been reported. 17,18 One simplified modification to ESD is ESD with snaring (ESD-S). In the ESD-S procedure, standard ESD is initially undertaken; however, the final stage of the procedure involves the use of a snare to grasp and remove the undissected, narrowed submucosal tissue.…”

Deep colonic endoscopic submucosal dissection using a modified clip and snare method incorporating a pre-looping technique

“…This method could be applicable in the deep colon, but it is not well suited for multiple uses within a given lesion. Additionally, the S-O clip is not yet applicable to clinical situations 14 15…”

Novel technique of endoscopic submucosal dissection by using external forceps for early rectal cancer (with videos)

“…ESD procedures for colorectal neoplasias are more difficult than those for EGC, [8][9][10][11][12] and several countertraction systems that facilitate ESD procedures for colorectal cancers have been reported. [13][14][15][16] Saito et al 13 reported a sinker-assisted ESD procedure, Uraoka et al 14 reported thin endoscope-assisted ESD for large colorectal tumors. Sakamoto et al 15 reported ESD by using a novel spring-action S-O clip for traction, and Motohashi 16 reported 2-point fixed ESD in rectal tumors.…”

“…[13][14][15][16] Saito et al 13 reported a sinker-assisted ESD procedure, Uraoka et al 14 reported thin endoscope-assisted ESD for large colorectal tumors. Sakamoto et al 15 reported ESD by using a novel spring-action S-O clip for traction, and Motohashi 16 reported 2-point fixed ESD in rectal tumors. We previously reported an ESD procedure for EGC that involved a countertraction method using the external grasping forceps.…”