Snare with endoclips to assist in endoscopic submucosal dissection with mucosal internal traction for a gastric neoplasia involving pyloric ring

Abstract

https://onlinelibrary.wiley.com/page/journal/14431661/den13064-sup-0001-vids1.htm a video of this article

Snare and rubber band combined assisted traction ： a novel method for endoscopic submucosal dissection in treating early gastric cancer

“…Endoscopic submucosal dissection(ESD) is a new technique for the treatment of early cancers of the digestive tract, which has the advantages of high complete resection rate, less trauma and higher safety than open surgery. However, ESD has high technical requirements and is di cult to operate, especially when submucosal dissection fails to fully expose the submucosa, which increases the operation di culty, time, postoperative bleeding and perforation complications [1][2][3] In order to create a good operational eld of vision and achieve accurate cutting, a variety of endoscopic assisted traction methods have emerged, such as oral oss traction, snare traction, metal clip-elastic band combined traction [4][5][6][7] Inspired by these assisted traction technologies, our department started the innovative ESD treatment of early gastric cancer with the new methods of snare combined with rubber ring assisted traction in January 2016, and the e cacy was satisfactory, as reported below.…”

Endoscope-assisted deliverance of a snare into the deep colon for endoscopic submucosal dissection

“…We explored use of a snare combined with endoclips for assisting in ESD (SC-ESD) 3, 4 . SC-ESD has been successfully applied in resection of upper gastrointestinal mucosal lesions.…”