Endoscopic submucosal dissection by using a new traction device.

Area of Science:

• Gastroenterology
• Endoscopic Surgery
• Medical Device Innovation

Background:

• Ectopic pancreas is a congenital anomaly that can cause gastrointestinal symptoms.
• Endoscopic submucosal dissection (ESD) is a minimally invasive technique for resecting gastrointestinal lesions.
• Managing gastric ectopic pancreas can be challenging due to its location and potential for complications.

Purpose of the Study:

• To demonstrate the utility of a new traction device, the ProdiGi traction wire, in the endoscopic submucosal dissection (ESD) of gastric ectopic pancreas.
• To evaluate the safety and efficacy of the ProdiGi traction wire in achieving en bloc resection of ectopic pancreas.
• To present a case study illustrating the application of this novel device in a clinical setting.

Main Methods:

• A patient with symptomatic gastric ectopic pancreas underwent endoscopic submucosal dissection (ESD).
• A novel traction device, the ProdiGi traction wire, was employed to facilitate lesion manipulation and dissection.
• The procedure aimed for en bloc resection of the ectopic pancreatic tissue.

Main Results:

• The ProdiGi traction wire enabled effective traction and stabilization of the ectopic pancreas during ESD.
• En bloc resection of the gastric ectopic pancreas was successfully achieved.
• No intraoperative or postoperative adverse events were observed during the procedure.

Conclusions:

• The ProdiGi traction wire is a valuable tool for endoscopic submucosal dissection (ESD) of gastric ectopic pancreas.
• This novel device facilitates safe and effective en bloc resection, potentially improving outcomes for patients with this condition.
• Further studies are warranted to assess the broader applicability of the ProdiGi traction wire in various endoscopic submucosal dissection (ESD) procedures.