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Endoscopic submucosal dissection of distal intestinal tumors using grasping forceps for traction

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Abstract

Background

The aim of this study was to assess the efficacy of traction device-assisted endoscopic submucosal dissection (ESD) of the rectum and the distal segment of sigmoid colon using grasping forceps.

Methods

A total of 43 patients scheduled for colonic ESD at our institution were enrolled between January 2013 and June 2017. The patients were randomly allocated to receive conventional ESD (group A) or traction device-assisted ESD (group B). The procedure time, complication rate, and en-block resection rate in the two groups were compared.

Results

A total of 41 patients completed the study. The procedure time, complication rate and en-block resection rate were, respectively, 104.1 ± 34.7 min, 15%, 90% in the routine group (group A) and 84.7 ± 23.5 min, 9.5%, 90.5% in traction device-assisted ESD (group B). The procedure time in group B was significantly less than that in group A (F = 4.442, p < 0.05).

Conclusions

Traction device-assisted ESD using grasping forceps is safe and effective in distal colon ESD.

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Funding

Supported by the National Natural Science Foundation of China (Grant nos. 31670857, 31700737); the Natural Science Foundation of Jiangsu Province (no. BK20161152); the Major Program of Wuxi Municipal Commission of Health and Family Planning (Z201808); the young talent’s subsidy project of Jiangsu Province (QNRC2016136); Program for Innovative Research of Wuxi (CXTD004); the young talent’s subsidy project of Jiangsu Province (QNRC092).

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Authors and Affiliations

  1. Xuzhou Medical University, No. 3 Yingrui Road, Jiangyin, China

    F. Wang, X. Leng, Y. Gao, K. Zhao, Y. Sun, H. Bian, H. Liu & P. Liu

Authors
  1. F. Wang
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  2. X. Leng
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  3. Y. Gao
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  4. K. Zhao
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  5. Y. Sun
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  6. H. Bian
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  7. H. Liu
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  8. P. Liu
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Corresponding author

Correspondence to P. Liu.

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The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the Jiangyin People's Hospital, the Jiangyin Clinical College of Xuzhou Medical University.

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All patients in this study signed the informed consent.

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Wang, F., Leng, X., Gao, Y. et al. Endoscopic submucosal dissection of distal intestinal tumors using grasping forceps for traction . Tech Coloproctol 23, 1079–1083 (2019). https://doi.org/10.1007/s10151-019-02102-x

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  • DOI: https://doi.org/10.1007/s10151-019-02102-x

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