RSS-Feed abonnieren
DOI: 10.1055/a-2272-1012
Water pressure method for endoscopic submucosal dissection of a rectal tumor on the gravitational side close to the dentate line
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]).
Qualität:
Publikationsverlauf
Eingereicht: 02. Januar 2024
Angenommen nach Revision: 16. Februar 2024
Artikel online veröffentlicht:
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/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Libânio D, Pimentel-Nunes P, Bastiaansen B. et al. Endoscopic submucosal dissection techniques and technology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review. Endoscopy 2023; 55: 361-389 DOI: 10.1055/a-2031-0874. (PMID: 36882090)
- 2 Sharma S, Hiratsuka T, Hara H. et al. Antigravity ESD – double-balloon-assisted underwater with traction hybrid technique. Endosc Int Open 2018; 6: E739-E744
- 3 Lee BI. Debates on colorectal endoscopic submucosal dissection – traction for effective dissection: Gravity is enough. Clin Endosc 2013; 46: 467-471 DOI: 10.5946/ce.2013.46.5.467. (PMID: 24143304)
- 4 Bordillon P, Pioche M, Wallenhorst T. et al. Double-clip traction for colonic endoscopic submucosal dissection: a multicenter study of 599 consecutive cases (with video). Gastrointest Endosc 2021; 94: 333-343
- 5 Nagata M. Advances in traction methods for endoscopic submucosal dissection: What is the best traction method and traction direction?. World J Gastroenterol 2022; 28: 1-22 DOI: 10.3748/wjg.v28.i1.1. (PMID: 35125817)