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Related Experiment Video

Updated: Jul 16, 2026

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
03:48

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

1.3K

Endoscopic submucosal dissection: an update on tools and accessories.

Christopher Harlow1, Arun Sivananthan2, Lakshmana Ayaru3

  • 1Liver and Anti-Viral Unit, Imperial College London, London, UK.

Therapeutic Advances in Gastrointestinal Endoscopy
|October 22, 2020
PubMed
Summary

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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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The evolution of lower gastrointestinal endoscopy: where are we now?

Therapeutic advances in gastrointestinal endoscopy·2021

Endoscopic submucosal dissection (ESD) tools are evolving to improve polyp removal. Enhanced accessories aim to increase accessibility and safety for more endoscopists.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Endoscopy

Background:

  • Endoscopic submucosal dissection (ESD) is a minimally invasive technique for removing gastrointestinal lesions.
  • While established for gastric lesions, ESD in the esophagus and colon presents significant challenges due to anatomy and lack of counter-traction.
  • Current ESD practice relies heavily on practitioner experience, with limited evidence for many tools.

Purpose of the Study:

  • To review the range of accessories currently utilized in endoscopic submucosal dissection (ESD).
  • To highlight the challenges in ESD and the role of evolving tools in overcoming them.
  • To discuss the impact of an expanded ESD toolbox on procedure accessibility and evidence generation.

Main Methods:

  • Review of accessories used in regular ESD practice.
Keywords:
accessoriesendoscopic submucosal dissectionendoscopytools

Related Experiment Videos

Last Updated: Jul 16, 2026

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
03:48

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

1.3K
  • Categorization of tools including knives, cap/hood devices, injection fluids, hemostatic devices, generators, and traction apparatus.
  • Discussion of the current evidence base and future directions for ESD tool development.

    • Main Results:

    • A variety of specialized tools exist for different stages of ESD, including cutting, dissection, visualization, lifting, hemostasis, and traction.
    • Despite tool availability, ESD remains technically demanding, particularly in the esophagus and colon.
    • The evolution of the ESD toolbox is crucial for improving safety, efficacy, and accessibility.

    Conclusions:

    • Advancements in ESD accessories are essential for broadening the procedure's application.
    • Further research and a larger evidence base are needed to evaluate the efficacy and safety of emerging ESD tools.
    • Making ESD more accessible to a wider range of endoscopists will foster more robust clinical data.