High proficiency of colonic endoscopic submucosal dissection in Europe thanks to countertraction strategy using a double clip and rubber band

Autor: Jérémie Jacques, Aurélie Charissoux, Pierre Bordillon, Romain Legros, Jérôme Rivory, Valérie Hervieu, Jérémie Albouys, Anne Guyot, Thierry Ponchon, Denis Sautereau, Sebastien Kerever, Mathieu Pioche
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Endoscopy International Open, Vol 07, Iss 09, Pp E1166-E1174 (2019)
Druh dokumentu: article
ISSN: 2364-3722
2196-9736
DOI: 10.1055/a-0965-8531
Popis: Background and study aims ESD in the colon is more challenging technically than in other locations. Here, we report the first comparative case series of colon ESD using a systematic countertraction strategy using two clips and a rubber band. Patients and methods Retrospective comparative study of classic versus countertraction colon ESD performed in colon ESD cases collected prospectively at Lyon Edouard Herriot Hospital and Limoges University Hospital from January 2016 until December 2017. Results The study included 192 cases (control = 76, countertraction = 116). Countertraction using the double clip and rubber band technique versus the control group resulted in a significant decrease in the procedure time (94.7 vs. 117 min; P = 0.004) and significant increases in procedure speed (28.2 vs. 16.7 mm2/min; P
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