Usefulness of the S–O clip for gastric endoscopic submucosal dissection (with video)

Hashimoto, Rintaro; Hirasawa, Dai; Iwaki, Tomoyuki; Yamaoka, Hajime; Nihei, Kousuke; Tanaka, Ippei; Chonan, Akimichi; Takase, Kei

doi:10.1007/s00464-017-5765-9

Cited by 45 publications

(36 citation statements)

References 20 publications

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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%

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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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Section: Stomachmentioning

confidence: 99%

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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“…1). 31,32 Apart from these methods, double-scope ESD, 33 internal traction method, or other novel techniques have been reported from many institutions. [34][35][36] In the United States, ESD is rapidly developing and it is also performed slightly in the original manner.…”

Section: Tips and Tricks Of Esd (In Japan And Upcoming New Technologimentioning

confidence: 99%

ESD and Pit Pattern Diagnosis: Lessons from a Japanese Endoscopist Working in the United States

Nishimura

2020

Clin Colon Rectal Surg

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Endoscopic submucosal dissection (ESD) was developed in 2000s to overcome the limitations of endoscopic mucosal resection (EMR), especially to accomplish en-bloc resection, and it has been accepted worldwide in the past decades. Many ESD devices and diagnosis modalities are currently available, which include pit pattern and narrow band imaging (NBI) diagnoses to evaluate the depth of the tumor preoperatively with sensitivities of 70 to 90%. Depending on the Japanese colorectal guideline, the intramucosal cancer and shallow invasion of the submucosal layer are the main good indications of ESD; however, the ESD practices between Japan and Western countries still vary, including pathologic definition of cancer, tumor/node/metastasis classification, and handling of ESD specimen. In the United States, despite the large demand for treatment of colorectal neoplasm, pit pattern and magnified NBI diagnoses are not widely accepted yet, and piecemeal EMR is still the major method in most of the institutions. Moreover, the specific guideline of ESD is also not available yet. More new technologies are being developed other than conventional ESD methods in Eastern and Western countries, and ESD is now expected to change in the next generation. It is recommended that not only gastroenterologists but also colorectal surgeons have appropriate knowledge of colorectal lesions and their management to ensure current treatments is applied to patients.

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“…Recently, some mucosal traction methods have been reported to assist in gastric endoscopic submucosal dissection (ESD), including mucosal internal traction methods such as line and endoclips or S‐O clip . A snare with endoclips was first used to achieve internal traction for assisting in gastric ESD by our group.…”

Section: Brief Explanationmentioning

confidence: 99%

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

Zhang

Wang

2018

Digestive Endoscopy

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Usefulness of the S–O clip for gastric endoscopic submucosal dissection (with video)

Abstract: The S-O clip improved the speed of gastric ESD by approximately 25%, without increasing adverse events.

Cited by 45 publications

References 20 publications

Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection

Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection

ESD and Pit Pattern Diagnosis: Lessons from a Japanese Endoscopist Working in the United States

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

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