Fig. 9.1
(a) Schematic diagram of the clip and line method. (b, c) Good countertraction was made in esophageal ESD using the clip and line method
Fig. 9.2
(a) Schematic diagram of the S-O clip method. (b) Countertraction was made in colonic ESD by using clips and rubber band
Fig. 9.3
Schematic diagram of the clip flap method. A clip is substituted for the initial mucosal flap
Conclusion
Many new devices and strategies have been developed, and while we have a long way to go before we have mastered ESD, applying these methods will make ESD procedures safer and easier.
References
1.
Ono H, Kondo H, Gotoda T, et al. Endoscopic mucosal resection for treatment of early gastric cancer. Gut. 2001;48:225–9.CrossRefPubMedPubMedCentral
2.
Yamamoto H, Kawata H, Sunada K, et al. Successful en-bloc resection of large superficial tumors in the stomach and colon using sodium hyaluronate and small-caliber-tip transparent hood. Endoscopy. 2003;35:690–4.CrossRefPubMed
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