ArticleBMC gastroenterology2022
Multi-loop traction device facilitates gastric endoscopic submucosal dissection: ex vivo pilot study and an inaugural clinical experience.
Article in BMC gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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The trial behind it
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Who cites it
23 citing papers in PubMed, 37 citations in OpenAlex.
- Unidirectional versus direction-selectable traction device in gastric endoscopic submucosal dissection: a randomized controlled trial.Surgical endoscopy · 2025Trial
- Trial
- Innovations in Advanced Endoscopic Resection of Early Upper Gastrointestinal Cancer.Journal of clinical medicine · 2026Review
- Recent Advances in Endoscopic Submucosal Dissection for Gastric Cancer: Focusing on Expanded Indications and Technological Innovations.Journal of gastric cancer · 2026Review
- Modified anchor traction method allows safe colorectal endoscopic submucosal dissection: the T-shaped traction method.Endoscopy · 2025Article
- Synergistic advantages of combining a traction device with underwater conditions for colonic endoscopic submucosal dissection.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
- Usefulness of the Long Cap-Assisted Method for Securing Countertraction During Endoscopic Submucosal Dissection.ACG case reports journal · 2025Article
- Efficacy and safety of multi-loop traction device-assisted colorectal endoscopic submucosal dissection: Multicenter randomized clinical trial.Endoscopy international open · 2025Article
- A novel traction method using a multi-loop traction device in colorectal endoscopic submucosal dissection: Anchor traction method.Endoscopy · 2024Article
- Colorectal submucosal dissection using a novel traction method with a threaded clip attached to the outside of the lesion.Endoscopy · 2024Article
- Optimization of traction-device length and traction force during gastric endoscopic submucosal dissection.Endoscopy international open · 2024Article
- Efficacy of a novel traction method: outside-lesion clip-thread method for gastric endoscopic submucosal dissection of lesions of the greater curvature of the upper/middle stomach (with video).Surgical endoscopy · 2024Article
- A Retrospective Study of 290 Patients with Resectable Benign and Malignant Gastric Neoplasms to Compare Postoperative Outcomes of Endoscopic Resection with and without the Internal Traction Method Using a Spring-and-Loop with Clip (S-O Clip).Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Development of a novel multipoint traction device for gastric and colorectal endoscopic submucosal dissection and evaluation of its efficacy and safety.Surgical endoscopy · 2024Article
- Underwater and traction-assisted endoscopic submucosal dissection in the gastric fundus using a multibending endoscope.Endoscopy · 2023Article
- A novel technique using a multiloop traction device for colonic diverticular bleeding.Endoscopy · 2023Article
- The efficacy and safety of multi-loop traction device for gastric endoscopic submucosal dissection: a single center prospective pilot study.Scientific reports · 2023Article
- Rotatable Bi-Channel En Bloc Resection of Bladder Tumor for Non-Muscle-Invasive Bladder Cancer in an Ex Vivo Porcine Model.Cancers · 2023Article
- Impact of Traction Direction in Traction-Assisted Gastric Endoscopic Submucosal Dissection (with Videos).Digestive diseases and sciences · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundEndoscopic submucosal dissection (ESD) is technically difficult and requires considerable training. The authors have developed a multi-loop traction device (MLTD), a new traction device that offers easy attachment and detachment. We aimed to evaluate the utility of MLTD in ESD.
methodsThis ex vivo pilot study was a prospective, block-randomized, comparative study of a porcine stomach model. Twenty-four lesions were assigned to a group that undertook ESD using the MLTD (M-ESD group) and a group that undertook conventional ESD (C-ESD group) to compare the speed of submucosal dissection. In addition, the data of consecutive 10 patients with eleven gastric lesions was collected using electronic medical records to clarify the inaugural clinical outcomes of gastric ESD using MLTD.
resultsThe median (interquartile range) speed of submucosal dissection in the M-ESD and C-ESD groups were 141.5 (60.9-177.6) mm2/min and 35.5 (20.8-52.3) mm2/min, respectively; submucosal dissection was significantly faster in the M-ESD group (p < 0.05). The rate of en bloc resection and R0 resection was 100% in both groups, and there were no perforation in either group. The MLTD attachment time was 2.5 ± 0.9 min and the MLTD extraction time was 1.0 ± 1.1 min. Clinical outcomes of MLTD in gastric ESD were almost the same as those of ex vivo pilot study.
conclusionsMLTD increased the speed of submucosal dissection in ESD and was similarly effective when used by expert and trainee endoscopists without perforation. MLTD can potentially ensure a safer and faster ESD.
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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.