Evidence map›Paper›PMID 41372620›Full record

ArticleSurgical endoscopy2026

Pulley traction in endoscopic submucosal dissection of lesions in the upper two-thirds of the stomach: a retrospective study (with video).

Linfu Zheng, Xingjie Gao, Zhilin Liu, Kun Lin, Jin Zheng, Longping Chen, Binbin Xu, Yunmeng Zheng, Rong Wang, Wen Wang and 1 more

Abstract readVideo-Audio MediaComparative Study
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In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Linfu Zheng *Department of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Xingjie Gao *Department of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Zhilin Liu *Department of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Kun LinDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Jin ZhengDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Longping ChenDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Binbin XuDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Yunmeng ZhengDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Rong WangDepartment of Gastroenterology, 900th Hospital of Joint Logistics Support Force, Fuzhou, 350025, China.
Wen WangDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China. wangwenfj@163.com.
Dazhou LiDepartment of Gastroenterology, Fuzhou General Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China. ldz7302999@sina.com.ORCID 0000-0003-0922-760X

Funding

Fujian Provincial Department of Science and Technology 2021Y0063Natural Science Foundation of Fujian Province 2023J011358the Fujian Science and Technology Guiding Fund Project 2024Y0049the Major Science and Technology Project of Fujian Province 2024YZ034026 to FQ.X
6 · The paper itself

Abstract

backgroundEndoscopic submucosal dissection (ESD) in the upper and middle thirds of the stomach is technically challenging. There are few reports on the use of pulley traction (PT), which involves using orthodontic rubber bands and dental floss to assist with ESD, in this area. We aimed to explore the efficacy of PT-ESD in this region and compare it with conventional ESD (C-ESD).

methodsOne hundred ninety-seven patients who underwent ESD for lesions located in the upper and middle parts of the stomach was conducted. There were 40 cases in the PT-ESD group and 157 in the C-ESD group. The primary outcome measure was dissection speed.

resultsPrior to propensity score matching (PSM), the lesion size and specimen diameter were larger in the PT-ESD group than in the C-ESD group. The PT-ESD group also experienced a longer procedure time (78.5 ± 28.7 vs. 64.9 ± 44.0 min, P = 0.02). However, the PT-ESD group had a significantly faster dissection speed (20.8 [IQR, 16.4, 30.6] vs. 9.4 [IQR, 6.0, 13.1] mm

conclusionsThe studied pulley traction method demonstrated a good dissection speed and an acceptable complication rate for lesions in the upper and middle thirds of the stomach. It is a feasible and safe traction method.

Indexed as

Endoscopic Mucosal ResectionGastroscopyStomach NeoplasmsTractionAgedFemaleGastric MucosaHumansMaleMiddle AgedOperative TimeRetrospective StudiesTreatment OutcomeEndoscopic submucosal dissectionGastric cancerPulleyTraction

Identifiers

PMID41372620

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