Society for Surgery of the Alimentary Tract

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EXTERNALLY INTRODUCED GRASPING DEVICE FOR TRACTION IN DISTAL COLORECTAL LESIONS DURING ENDOSCOPIC SUBMUCOSAL DISSECTION
Brogan Catalano*, Kamil Erozkan, Enes Tasci, Emre Gorgun
Colorectal Surgery, Cleveland Clinic, Cleveland, OH

Endoscopic submucosal dissection (ESD) is increasingly recognized as an effective treatment for lesions across all colon segments and the rectum. While its acceptance grows, the technical challenges associated with ESD, especially in training novice proceduralists, persist due to the inherent risks of perforation and the absence of proper traction.
This study presents two cases where endoscopic grasping devices were employed during ESD for effective traction (Video 1).
External grasping devices facilitate efficient traction, particularly during ESD for large and recurrent distal colorectal lesions. This approach may reduce procedure time and simplify novice proceduralists' learning curve.
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