A Novel Clip Facilitated Tissue Traction Technique in ESD: "The Cleveland Method"

This video demonstrates the application of a novel tissue retraction technique. The patient is a 86 year old female with a 55 mm flat polyp in the ascending colon. Endoscopic submucosal dissection with clip application during resection is performed. A total of 60 mm area is resected and 2 endoscopic...

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Bibliographic Details
Published inThe American journal of gastroenterology Vol. 113; p. S967
Main Authors Sapci, Ipek, Delaney, Conor, Gorgun, Emre
Format Journal Article
LanguageEnglish
Published New York Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01.10.2018
Subjects
Colorectal cancer
Endoscopy
Gastroenterology
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Summary:This video demonstrates the application of a novel tissue retraction technique. The patient is a 86 year old female with a 55 mm flat polyp in the ascending colon. Endoscopic submucosal dissection with clip application during resection is performed. A total of 60 mm area is resected and 2 endoscopic hemoclips are applied. Steps of the procedure are demonstrated in detail. The patient was discharged home the next day with no immediate or post-procedural complications with a total case time of 90 minutes. Endoscopic clip application between the edge of the lesion and the opposite bowel wall enables effective retraction/counter traction and facilitates tissue resection.
ISSN:0002-9270
1572-0241