Abstract
Endoscopic submucosal dissection (ESD) remains technically demanding. Traction seems to ease this procedure [1], but all traction strategies have their limitations [2], the main one being that traction force tends to decline as the dissection advances. An adaptive traction device, able to be tightened to increase traction during the procedure, has been described to overcome this limitation [3], but its installation remains challenging. We describe here the setup and strategy ([Video 1]) using the traction device (A-TRACT-2 + 2; Hospices civils de Lyon, France) combining two linked loops that could be tightened with two free loops to obtain a multipolar traction on the four edges of the lesion ([Fig. 1]).
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
