Year 2025 / Volume 117 / Number 8
Letter
A novel three traction rings device with endoscopic submucosal dissection (ESD) for the removal of a large superficial duodenal adenoma

464-466

DOI: 10.17235/reed.2024.10652/2024

De-Feng Li, Yan-Hui Tian, Rui-Yue Shi, Ding-Guo Zhang,

Abstract
Endoscopic treatment is generally recommended for the duodenal epithelial adenoma. Although underwater endoscopic mucosal resection (UEMR) has become established as an effective modality for the superficial duodenal adenoma. However, it is difficult to completely remove a large superficial duodenal adenoma with en bloc resection. Endoscopic submucosal dissection (ESD) is commonly performed to remove a large superficial duodenal adenoma, whereas which is technically challenged with severe adverse events. It has reported that entire traction using clip-and-nylon ring with ESD was effective and safe in the removal of a large rectal sessile serrated adenoma (SSA). Herein, we shared our experience of the novel three traction rings device in the treatment of a large superficial duodenal adenoma.
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References
1. Miyazaki K, Nakayama A, Sasaki M, Minezaki D, Morioka K, Iwata K, Masunaga T, Kubosawa Y, Mizutani M, Hayashi Y et al: Resectability of Small Duodenal Tumors: A Randomized Controlled Trial Comparing Underwater Endoscopic Mucosal Resection and Cold Snare Polypectomy. Am J Gastroenterol 2024.
2. Miyakawa A, Kuwai T, Sakuma Y, Kubota M, Nakamura A, Itobayashi E, Shimura H, Suzuki Y, Shimura K: A feasibility study comparing gel immersion endoscopic resection and underwater endoscopic mucosal resection for superficial nonampullary duodenal epithelial tumors. Endoscopy 2023, 55(3):261-266.
3. Yen AW, Leung JW, Wilson MD, Leung FW: Underwater versus conventional endoscopic resection of nondiminutive nonpedunculated colorectal lesions: a prospective randomized controlled trial (with video). Gastrointest Endosc 2020, 91(3):643-654 e642.
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Li D, Tian Y, Shi R, Zhang D. A novel three traction rings device with endoscopic submucosal dissection (ESD) for the removal of a large superficial duodenal adenoma. 10652/2024


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Publication history

Received: 14/07/2024

Accepted: 03/08/2024

Online First: 05/09/2024

Published: 24/07/2025

Article Online First time: 53 days

Article editing time: 375 days


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