CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(04): E532-E534
DOI: 10.1055/a-2272-1012
VidEIO

Water pressure method for endoscopic submucosal dissection of a rectal tumor on the gravitational side close to the dentate line

Tao Dong
1   Digestive Endoscopy Center, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China (Ringgold ID: RIN375808)
,
Hanying Wang
1   Digestive Endoscopy Center, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China (Ringgold ID: RIN375808)
,
Lin Jing
1   Digestive Endoscopy Center, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China (Ringgold ID: RIN375808)
,
Xuan Zhou
1   Digestive Endoscopy Center, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China (Ringgold ID: RIN375808)
,
Yaohui Wang
2   Department of Pathology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China (Ringgold ID: RIN375808)
,
Jun Xiao
1   Digestive Endoscopy Center, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China (Ringgold ID: RIN375808)
› Author Affiliations
Science and Technology Development Special Project of Jiangsu Provincial Administration of Traditional Chinese Medicine.

Adequate submucosal exposure and visibility are vital for effective and safe endoscopic submucosal dissection (ESD) [1]. For lesions located on the gravitational side, the mucosal flap tends to collapse as the dissection proceeds which hinders subsequent operation [2]. Position change for gravity assistance is usually preferred in this circumstance, but not always applicable [3]. In this case, we present use of the water pressure method (WPM) to facilitate ESD of a rectal tumor on the gravitational side close to the dentate line ([Video 1]).


Quality:
Water pressure method for endoscopic submucosal dissection of a rectal tumor on the gravitational side close to the dentate line.Video 1



Publication History

Received: 02 January 2024

Accepted after revision: 16 February 2024

Article published online:
15 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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