SynthesisGut and liver2020
Efficacy of Current Traction Techniques for Endoscopic Submucosal Dissection.
Synthesis in Gut and liver, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 115 citations in OpenAlex.
- Procedural efficiency and safety of traction-assisted versus conventional endoscopic submucosal dissection for gastric tumors: a meta-analysis of randomized controlled trials.BMC gastroenterology · 2026Pooled it
- Traction-assisted versus conventional endoscopic submucosal dissection for colorectal lesions: an updated systematic review and meta-analysis of randomized trials.Techniques in coloproctology · 2026Pooled it
- The Impact of Traction Methods on Endoscopic Submucosal Dissection Efficacy for Gastric Neoplasia: A Systematic Review and Meta-analysis.Journal of gastrointestinal cancer · 2024Pooled it
- The Comparison Between Low- and High-Concentration Injection Solution Ability for Colorectal Endoscopic Submucosal Dissection.Journal of gastroenterology and hepatology · 2025Trial
- Clinical Outcomes of Traction-Assisted Endoscopic Submucosal Dissection for Prepyloric and Pyloric Neoplasms: Propensity Score Matching Analysis.Gut and liver · 2026Article
- A novel traction technique for endoscopic submucosal dissection: "traction using a rotatable clip with a line loop".Endoscopy · 2026Article
- A novel bimanual endoluminal robotic platform compatible with standard gastroscopes for endoscopic submucosal dissection: preclinical feasibility and ergonomic evaluation.Surgical endoscopy · 2026Article
- Review
- Save the injection needle for colorectal ESD: a multicenter feasibility study of the needleless injection technique using short-tip endoknife.Techniques in coloproctology · 2026Article
- Comparison of Traction and Pocket Creation Methods for Facilitating Colorectal Endoscopic Submucosal Dissection.Digestive diseases and sciences · 2026Article
- Evaluation of the dual-action tissue closure device for perforation closure after endoscopic full-thickness resection of gastric submucosal tumors >10 mm.Gastroenterology report · 2026Article
- Endoscopic diagnosis and treatment of colon cancer: current evidence and future directions.Frontiers in surgery · 2026Review
- Assessing the effectiveness of endoscopic submucosal dissection for hypopharyngeal lesions- a comprehensive evaluation.Frontiers in oncology · 2026Article
- Endoscopic submucosal dissection of a rectal lesion using a new flower-shaped multiband traction system.Endoscopy · 2025Article
- A prediction score model of difficult endoscopic submucosal dissection for early esophageal cancer and precancerous lesions.Annals of medicine · 2025Article
- A new traction method - integrated multipoint traction - in endoscopic submucosal dissection for the treatment of a laterally spreading tumor.Endoscopy · 2025Article
- Usefulness of the anchor traction method for multi-point traction in colorectal endoscopic submucosal dissection: a retrospective, single-centre study (with video).Surgical endoscopy · 2025Article
- Traction Techniques for Endoscopic Submucosal Dissection (ESD): Organ-Specific Best Practices and Western Outcomes.Current gastroenterology reports · 2025Review
- Risk Factors, Clinical Course, and Management of Delayed Perforation After Colorectal Endoscopic Submucosal Dissection: A Large-Scale Multicenter Study.Digestive diseases and sciences · 2025Article
- Article
17 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This systematic review aimed to assess the efficacy of the current approach to tissue traction during the endoscopic submucosal dissection (ESD) of superficial esophageal cancer, early gastric cancer, and colorectal neoplasms. We performed a systematic electronic literature search of articles published in PubMed and selected comparative studies to investigate the treatment outcomes of tractionassisted versus conventional ESD. Using the keywords, we retrieved 381 articles, including five eligible articles on the esophagus, 13 on the stomach, and 12 on the colorectum. A total of seven randomized controlled trials and 23 retrospective studies were identified. Clip line traction and submucosal tunneling were effective in reducing the procedural time during esophageal ESD. The efficacy of traction methods in gastric ESD varied in terms of the devices and strategies used depending on the lesion location and degree of submucosal fibrosis. Several prospective and retrospective studies utilized traction devices without the need to reinsert the colonoscope. When pocket creation is included, the traction devices and methods effectively shorten the procedural time during colorectal ESD. Although the efficacy is dependent on the organ and tumor locations, several traction techniques have been demonstrated to be efficacious in facilitating ESD by maintaining satisfactory traction during dissection.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.