ArticleSurgical endoscopy2022
Training program using a traction device improves trainees' learning curve of colorectal endoscopic submucosal dissection.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Endoscopic Submucosal Dissection with Rubber Bands and Clips Compared to Conventional Endoscopic Submucosal Dissection: A Systematic Review and Meta-Analysis.Digestive diseases and sciences · 2025Pooled it
- A novel robotic system based on heterogeneous master-slave control algorithm: design and its clinical application in endoscopic submucosal dissection.Journal of robotic surgery · 2025Trial
- Robotic-assisted endoscopic submucosal dissection: a scoping review of preclinical and early clinical evidence.Surgical endoscopy · 2026Article
- Review
- A network meta-analysis of strategies for endoscopic submucosal dissection procedures from the perspectives of efficacy, duration and safety.BMC gastroenterology · 2026Article
- Colitis-Associated Dysplasia in Inflammatory Bowel Disease: Features and Endoscopic Management.Cancers · 2025Review
- Article
- Review
- Successful ESD of a gastric hamartomatous inverted polyp intussuscepted into a pylorus ring using a clip with a line attachment prior to incision.Endoscopy international open · 2024Article
- Article
- Novel through-the-scope steerable grasper for dynamic traction reduces dissection time and technical demand in endoscopic submucosal dissection in novice endoscopists compared with clip-and-line traction method: an ex vivo randomized study.iGIE : innovation, investigation and insights · 2022Article
- Effectiveness of a multi-loop traction device for colorectal endoscopic submucosal dissection performed by trainees: a pilot study.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColorectal endoscopic submucosal dissection (ESD) requires advanced endoscopic skill. For safer and more reliable ESD implementation, various traction devices have been developed in recent years. The purpose of this research was to evaluate whether an ESD training program using a traction device (TD) would contribute to the improvement of trainees' skill acquisition.
methodsThe differences in treatment outcomes and learning curves by the training program were compared before and after the introduction of TD (control group: January 2014 to March 2016; TD group: April 2016 to June 2018).
resultsA total of 316 patients were included in the analysis (TD group: 202 cases; control group: 114 cases). The number of cases required to achieve proficiency in ESD techniques was 10 in the TD group and 21 in the control group. Compared to the control group, the TD group had a significant advantage in ESD self-completion rate (73.8% vs. 58.8%), dissection speed (19.5 mm
conclusionsThe rate of colorectal ESD self-completion by trainees improved immediately after the start of the training program using a traction device compared to the conventional method, and the dissection speed tended to increase linearly with ESD experience. We believe that ESD training using a traction device will help ESD techniques to be performed safely and reliably among trainees.
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