Year 2023 / Volume 115 / Number 8
Letter
Multitraction with rubber bands and surgical silk as a method to facilitate endoscopic submucosal dissection

457-458

DOI: 10.17235/reed.2022.8932/2022

Juan Manuel Martín Guerrero, Antonio Moreno Loro, Francisco José García Fernández, Adalberto Rincón Gatica, Juan Manuel Bozada García,

Abstract
We propose this variant of the clip technique as a method that assist traction during endoscopic submucosal dissection (ESD): traction on the mucosa plane using an hemoclip carrying a surgical silk and three rubber bands, before the incision, to allow easier access to the submucosa space. We propose this variant with the intention of facilitating access to ESD quickly and safely for beginners.
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References
1. Lupu A, Jacques J, Rivory J, et al. Endoscopic submucosal dissection with triangulated traction with clip and rubber band: the "wallet" strategy. Endoscopy. 2018 Sep; 50(9): E256-E258.
2. Suzuki Y, Tanuma T, Nojima M, et al. Comparison of dissection speed during colorectal ESD between the novel Multiloop (M-loop) traction method and ESD methods without traction. Endosc Int Open. 2020 Jul; 8(7): E840-E847.
3. Abe S, Wu SYS, Ego M, et al. Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection. Gut Liver. 2020 Nov 15; 14(6): 673-684.
4. Matsui H, Tamai N, Futakuchi T, et al. Multi-loop traction device facilitates gastric endoscopic submucosal dissection: ex vivo pilot study and an inaugural clinical experience. BMC Gastroenterol. 2022 Jan 6; 22(1): 10.
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Citation tools
Martín Guerrero J, Moreno Loro A, García Fernández F, Rincón Gatica A, Bozada García J. Multitraction with rubber bands and surgical silk as a method to facilitate endoscopic submucosal dissection. 8932/2022


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Publication history

Received: 14/05/2022

Accepted: 10/10/2022

Online First: 20/10/2022

Published: 26/07/2023

Article revision time: 118 days

Article Online First time: 159 days

Article editing time: 438 days


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