Usefulness of the thread‐traction method in esophageal endoscopic submucosal dissection: Randomized controlled trial
- 1 December 2014
- journal article
- research article
- Published by Wiley in Digestive Endoscopy
- Vol. 27 (3), 303-309
- https://doi.org/10.1111/den.12396
Abstract
To assess the usefulness of the thread-traction method (TT method) in esophageal endoscopic submucosal dissection (ESD). A total of 40 lesions that were scheduled to be treated by esophageal ESD were included in the study. The TT method was used for 20 lesions (group TT) and conventional ESD was used for 20 lesions (group C) after randomization. The hook-knife method was used in all cases. In group TT, after circumferential mucosal incision, a clip with thread was attached to the oral edge of the lesion. ESD was carried out in all cases. Effective countertraction was created by the TT method, and it was possible to carry out an efficient dissection operation. Significant shortening of dissection time was achieved in group TT compared with group C (19.8 min vs 31.8 min, P = 0.044). Mean number of local injections during dissection was significantly less in group TT compared with that in group C (0.6 times vs 2.2 times, P < 0.001). As for the amount of local injection, group TT required significantly less compared with group C (2.6 mL vs 7.5 mL, P < 0.01). No complications were encountered. The TT method in esophageal ESD was safe and contributed to shortening of dissection time. The TT method is expected to become widespread as a safe and useful procedure.Keywords
This publication has 18 references indexed in Scilit:
- Usefulness of clip traction in the early phase of esophageal endoscopic submucosal dissectionDigestive Endoscopy, 2012
- A pilot study to assess mediastinal emphysema after esophageal endoscopic submucosal dissection with carbon dioxide insufflationEndoscopy, 2012
- Counter Traction Makes Endoscopic Submucosal Dissection EasierClinical Endoscopy, 2012
- Endoscopic submucosal dissection with the pulley method for early-stage gastric cancer (with video)Gastrointestinal Endoscopy, 2011
- MEDIASTINAL EMPHYSEMA AFTER ESOPHAGEAL ENDOSCOPIC SUBMUCOSAL DISSECTION: ITS PREVALENCE AND CLINICAL SIGNIFICANCEDigestive Endoscopy, 2010
- Long-term outcomes of endoscopic submucosal dissection for superficial esophageal squamous cell neoplasmsGastrointestinal Endoscopy, 2009
- ENDOSCOPIC SUBMUCOSAL DISSECTION FOR ESOPHAGEAL SQUAMOUS CELL NEOPLASMSDigestive Endoscopy, 2009
- A new technique for gastric endoscopic submucosal dissection: peroral traction-assisted endoscopic submucosal dissectionGastrointestinal Endoscopy, 2009
- Endoscopic submucosal dissection for early gastric cancers and large flat adenomasEndoscopy, 2006
- ENDOSCOPIC SUBMUCOSAL DISSECTION FOR EARLY GASTRIC CANCER: TECHNICAL FEASIBILITY, OPERATION TIME AND COMPLICATIONS FROM A LARGE CONSECUTIVE SERIESDigestive Endoscopy, 2004