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276
EXTERNAL DYNAMIC TRACTION FOR ENDOLUMINAL RESECTION OF AN ASCENDING COLON LESION
Date
May 18, 2024
Endoscopic Submucosal Dissection (ESD) offers several advantages in removing large, complex colon lesions. However, ESD is technically demanding and time-consuming due to insufficient endoluminal ability for traction-countertraction. Here we present an endoluminal procedure in a 55-year-old male with a 70 mm laterally spreading tumor in the ascending colon where we performed traction-assisted ESD facilitated by an external dynamic traction platform. The dissection was completed in 49 minutes without complication. The external dynamic traction platform can improve traction-countertraction and may decrease procedure time. Further studies are needed to evaluate efficiency and facility.
INTRODUCTION: Total neoadjuvant treatment (TNT) is an increasingly used strategy for locally advanced rectal cancer that provides a higher complete response rate and improved treatment compliance…
BACKGROUND: Endoscopic Submucosal Dissection (ESD) is a highly effective technique for removing large and complex colon lesions. It offers improved rates of en-bloc resection and reduced local recurrence…
INTRODUCTION: Ileal pouch-anal anastomosis (IPAA) is the procedure of choice in patients requiring total proctocolectomy. The reported leak rates after IPAA surgery range from 1-12% with well described significant impact on postoperative morbidity and recovery…
The use of Endoscopic Submucosal Dissection (ESD) for colorectal lesions in Inflammatory Bowel Disease (IBD) remains limited. ESD offers advantages like preserving more normal mucosa, which may lessen bowel function impact and enhance quality of life in IBD patients…