ArticleSurgical endoscopy2025
Planned use of a novel Elastic Traction Device improves efficiency in colorectal endoscopic submucosal dissection: a propensity-score matched study.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- A Novel Elastic Silicone Ring for Traction in ESD: Initial Experience With the Endo-Silicone Loop Band (With Video).Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026Article
- A network meta-analysis of strategies for endoscopic submucosal dissection procedures from the perspectives of efficacy, duration and safety.BMC gastroenterology · 2026Article
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10 authors.
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Abstract
backgroundEndoscopic submucosal dissection (ESD) for colorectal lesions is more challenging than for other sites, leading to the common use of traction devices to improve submucosal visibility and endoscope maneuverability. This study evaluated the outcomes and efficiency of a novel Elastic Traction Device (ETD), a rotatable and reopenable device, in colorectal ESD.
methodsWe retrospectively analyzed lesions (20-50 mm) resected at Saitama Medical University International Medical Center from July 2022 to January 2024. Lesions were divided into the conventional ESD group (C-ESD) and the ETD group (T-ESD); the T-ESD group was further split into the schedule (S) group, where ETD was planned early, and the rescue (R) group, where continued treatment was difficult. Propensity score matching (PSM) was used to balance baseline factors.
resultsOf 260 lesions, 136 were in the C-ESD group and 124 in the T-ESD group. After PSM, 101 lesions from each group were analyzed. No significant difference was observed in procedure time (47.13 ± 36.86 vs. 52.96 ± 39.17 min, p = 0.27) or dissection speed (33.54 ± 21.38 vs. 28.38 ± 18.81 mm
conclusionsAlthough the ETD did not consistently reduce procedure time or improve dissection speed, its planned and early application may offer potential benefits. Further prospective multicenter studies are needed to clarify its optimal role and clinical value in colorectal ESD.
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