CHALLENGES AND SOLUTIONS FOR TTC DEFLECTING GRASPER-ASSISTED TISSUE RETRACTION DURING ESD
Neil Mitra*1, Hansani N. Angammana1, Yanni Hedjar2, Hmc Shantha Kumara1, Richard L. Whelan1
1Lenox Hill Hospital, New York, NY; 2Brookdale University Hospital and Medical Center, New York, NY
This video regards a controllable bendable endoscopic grasper now available for use in conjunction with a double channel therapeutic upper endoscope that facilitates ESD. This presentation considers use of this system in the rectum/sigmoid. For ESD, the grasper system can be used for the latter 50- 65% of the case. This system permits active retraction of the cut edge which improves exposure. The device design and limitations are explained and the numerous technique modifications necessary to accommodate this tool are presented. Video from ex vivo bovine colon ESD cases is included. Multiple ways in which the device can be used to provide traction and potential pitfalls are discussed.
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