Endoscopic Submucosal Dissection with Sheath-Assisted Counter Traction Using a Novel Sheath for Early Gastric Cancers

Hijikata, Yasutaka; Ogasawara, Nagahisa; Sasaki, Makoto; Mizuno, Mari; Masui, Ryuta; Kondo, Yoshihiro; Izawa, Shinya; Ito, Yoshitake; Noda, Hisatsugu; Kasugai, Kunio

doi:10.5754/hge11458

Cited by 7 publications

(14 citation statements)

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“…We identified 4 studies 18,20,21,23 evaluating various methods to improve traction during an ESD procedure. More than a decade ago, Yonezawa et al, 18 in a well-designed, 12-month follow-up prospective trial of 60 patients, showed that the use of a sophisticated double-channel endoscope ("R-scope") resulted in significantly shorter operating time than standard ESD (57.9±29.7 min vs. 92.8±58.9 min, p=0.016), with similar efficacy and complication rates.…”

Section: Miscellaneous Methodsmentioning

confidence: 99%

“…All but 2 studies 38,46 were conducted in a single-site setting. Twenty-three had a prospective design [18][19][20][21][22][23]26,27,29,30,32,33,35,[37][38][39][40][41][44][45][46][47]50 and 10 had a retrospective design. 24,25,28,31,34,36,42,43,48,49 Among the prospective studies, 6 were randomized controlled trials (RCTs).…”

Section: Selection Of Studiesmentioning

confidence: 99%

“…38,48 With respect to the traction method, 3 studies evaluated magnetic anchor-guided ESD (MA-ESD), 19,44,49 5 evaluated the efficacy of double endoscopes, 22,27,28,40,48 21 investigated clip-involving methods for applying traction, [24][25][26][29][30][31][32][33][34][35][36][37][38][39][41][42][43][45][46][47]50 and 4 assessed miscellaneous methods. 18,20,21,23 Concerning the anatomical location where ESD was performed, 6 studies evaluated ESD traction methods for esophageal lesions, 21,26,32,38,41,43 17 for stomach lesions, [18][19][20]23,25,[27][28][29]…”

Section: Selection Of Studiesmentioning

confidence: 99%

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Methods that Assist Traction during Endoscopic Submucosal Dissection of Superficial Gastrointestinal Cancers: A Systematic Literature Review

et al. 2020

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Endoscopic submucosal dissection (ESD) is a well-established method for the treatment of early-stage gastrointestinal neoplasms. Adequate submucosal exposure is one of the most significant factors related to an effective and safe dissection. The aim of this systematic review was to evaluate the efficacy and safety of various methods that assist traction during ESD of precancerous and earlystage neoplastic lesions of the gastrointestinal tract. We performed an electronic search of the MEDLINE and the Cochrane Controlled Trials Register databases for relevant studies published up to May 2019. Trials exclusively recruiting patients undergoing ESD for superficial gastrointestinal cancer were considered eligible for inclusion. Thirty-three articles including 3,134 patients met the inclusion criteria. The studies evaluated different approaches for widening the endoscopic view, including magnetic anchor-guided ESD (3 studies), use of a second endoscope (5 studies), clip-involving technique (21 studies), and miscellaneous methods (4 studies). Among them, only 6 were randomized controlled trials evaluating different approaches. Overall, the implementation of methods that assist traction during ESD significantly improved the operating time and R0 resection rate and decreased the rate of complications (bleeding and perforation). Interventions that assist traction seem efficacious in improving tissue traction, thus facilitating ESD performance. Clin

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Section: Miscellaneous Methodsmentioning

confidence: 99%

Section: Selection Of Studiesmentioning

confidence: 99%

Section: Selection Of Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Methods that Assist Traction during Endoscopic Submucosal Dissection of Superficial Gastrointestinal Cancers: A Systematic Literature Review

et al. 2020

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“…Among the 13 eligible articles of gastric ESD, we identified two RCTs, and 11 retrospective comparative studies. [22][23][24][25][26][27][28][29][30][31][32][33][34] Ten studies compared the efficacy of ESD traction devices, and three other studies investigated the efficacy of traction strategy compared with conventional ESD ( Table 2).…”

Section: Stomachmentioning

confidence: 99%

“…Other traction devices such as sheath, elastic band, and S-O clip-assisted ESD were also shown to be effective in reducing the procedural time compared with conventional ESD in some retrospective studies. 25,27,28 In addition, submucosal tunneling technique and water-pocket creation strategy were recently reported to provide efficient traction. 23,24,34 Among them, Zhang et al 34 only included gastric epithelial neoplasms located in the lesser curvature.…”

Section: Stomachmentioning

confidence: 99%

Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection

Abe

Ego

et al. 2020

Gut and Liver

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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. Conclusions: 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. (Gut Liver,

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The future of endoscopic resection for early gastric cancer

Ortigão

Libânio

Dinis-Ribeiro

2022

Journal of Surgical Oncology

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Endoscopic resection for early gastric cancer is recommended when the risk of lymph node metastasis is negligible and should be performed through submucosal dissection due to well‐established short‐ and long‐term results. To overcome technical difficulties and decrease adverse events some techniques have been studied. This review outlines current strategies for improving patient selection and highlights innovative techniques that help minimize adverse events. Moreover, we discuss how to improve management after curative and noncurative resections.

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Endoscopic Submucosal Dissection with Sheath-Assisted Counter Traction Using a Novel Sheath for Early Gastric Cancers

Cited by 7 publications

References 0 publications

Methods that Assist Traction during Endoscopic Submucosal Dissection of Superficial Gastrointestinal Cancers: A Systematic Literature Review

Methods that Assist Traction during Endoscopic Submucosal Dissection of Superficial Gastrointestinal Cancers: A Systematic Literature Review

Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection

The future of endoscopic resection for early gastric cancer

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