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Clip-anchored floss traction-assisted endoscopic submucosal dissection combined with endoscopic tunneling in treatment of long circumferential early esophageal carcinoma

2024/07/15 by Wen-juan Ding, Wenjuan Ding, Xiang-rong Zhou +7
Medicine · #Esophageal Cancer Research and Treatment #Gastric Cancer Management and Outcomes #Gastroesophageal reflux and treatments

paper · pdf · doi:10.1055/a-2351-3077

Abstract

During endoscopic submucosal dissection (ESD) for large esophageal lesions, problems like lumen obstruction caused by distal contraction of the detached tissue, narrow submucosal space, and poor exposure of the submucosa often occur [1] [2] [3]. Although tunneling techniques can reportedly treat such lesions, they have not been able to resolve the issue of the dissected tissue clogging the lumen, and dissecting the ridges between the tunnels is challenging [4] [5]. In this study, we used a tunneling technique combined with floss traction to improve the long circumferential ESD of early esophageal cancer ([Video 1]).

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