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Related Experiment Video

Updated: Jul 19, 2025

ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection

ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection

Published on: February 10, 2017

Initial multicenter experience using a novel articulating through-the-scope traction device for endoscopic submucosal

Maham Hayat¹, Alexander Schlachterman², Grace Schiavone³

¹Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, United States.

Endoscopy International Open

|August 18, 2023

Summary

This summary is machine-generated.

A new articulating through-the-scope traction device significantly improved endoscopic submucosal dissection (ESD) outcomes. This novel device demonstrated high en-bloc, R0, and curative resection rates with an excellent safety profile in a multicenter study.

Keywords:

Endoscopic resection (polypectomy, ESD, EMRc, ...)Endoscopy Upper GI Tract

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Area of Science:

Gastroenterology
Surgical Innovation
Endoscopic Procedures

Background:

Endoscopic submucosal dissection (ESD) is a complex procedure.
A novel articulating through-the-scope (TTS) traction device has been developed to aid ESD.
Limited clinical data exist on the performance of this new TTS device.

Purpose of the Study:

To evaluate the initial multicenter clinical experience with ESD using the articulating TTS traction device.
To assess the efficacy and safety of this novel device in various gastrointestinal locations.

Main Methods:

Retrospective analysis of 36 consecutive patients undergoing T-ESD across five centers (August 2021 - December 2022).
Inclusion criteria: ESD performed with the articulating TTS traction device.
Endpoints: en-bloc resection rate, R0 resection rate, curative resection rate, and adverse events.

Main Results:

High rates of en-bloc (94.4%), R0 (91.6%), and curative resection (97.2%) were achieved.
The device was used for lesions in the esophagus, stomach, sigmoid colon, and rectum.
No delayed bleeding or perforation occurred; no recurrence was observed at median 6-month follow-up.

Conclusions:

The articulating TTS traction device shows high efficacy and an excellent safety profile for ESD.
This device may reduce the technical difficulty of ESD by providing dynamic, real-time traction.
Further research is needed to evaluate cost-effectiveness and compare with other traction methods.