Clin Endosc.  2020 May;53(3):286-301. 10.5946/ce.2019.147.

Methods that Assist Traction during Endoscopic Submucosal Dissection of Superficial Gastrointestinal Cancers: A Systematic Literature Review

Affiliations
  • 1Department of Gastroenterology, University Hospital Augsburg, Augsburg, Germany

Abstract

Endoscopic submucosal dissection (ESD) is a well-established method for the treatment of early-stage gastrointestinal neoplasms. Adequate submucosal exposure is one of the most significant factors related to an effective and safe dissection. The aim of this systematic review was to evaluate the effcacy and safety of various methods that assist traction during ESD of precancerous and earlystage neoplastic lesions of the gastrointestinal tract. We performed an electronic search of the MEDLINE and the Cochrane Controlled Trials Register databases for relevant studies published up to May 2019. Trials exclusively recruiting patients undergoing ESD for superficial gastrointestinal cancer were considered eligible for inclusion. Thirty-three articles including 3,134 patients met the inclusion criteria. The studies evaluated different approaches for widening the endoscopic view, including magnetic anchor-guided ESD (3 studies), use of a second endoscope (5 studies), clip-involving technique (21 studies), and miscellaneous methods (4 studies). Among them, only 6 were randomized controlled trials evaluating different approaches. Overall, the implementation of methods that assist traction during ESD significantly improved the operating time and R0 resection rate and decreased the rate of complications (bleeding and perforation). Interventions that assist traction seem effcacious in improving tissue traction, thus facilitating ESD performance.

Keyword

Dissection; Endoscopic; Method; Submucosal; Traction

Figure

  • Fig. 1. Literature search flowchart and study selection.

  • Fig. 2. Risk of bias among randomized controlled trials included in this review.

  • Fig. 3. Traction methods: (A) double-endoscope method, (B) clip-with-line method, and (C) traction by gravity.


Reference

1. Fuccio L, Ponchon T. Colorectal endoscopic submucosal dissection (ESD). Best Pract Res Clin Gastroenterol. 2017; 31:473–480.
Article
2. Pimentel-Nunes P, Dinis-Ribeiro M, Ponchon T, et al. Endoscopic submucosal dissection: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2015; 47:829–854.
Article
3. Saito Y, Fukuzawa M, Matsuda T, et al. Clinical outcome of endoscopic submucosal dissection versus endoscopic mucosal resection of large colorectal tumors as determined by curative resection. Surg Endosc. 2010; 24:343–352.
Article
4. Probst A, Golger D, Anthuber M, Märkl B, Messmann H. Endoscopic submucosal dissection in large sessile lesions of the rectosigmoid: learning curve in a European center. Endoscopy. 2012; 44:660–667.
Article
5. Probst A, Ebigbo A, Märkl B, et al. Endoscopic submucosal dissection for early rectal neoplasia: experience from a European center. Endoscopy. 2017; 49:222–232.
Article
6. Nishizawa T, Yahagi N. Endoscopic mucosal resection and endoscopic submucosal dissection: technique and new directions. Curr Opin Gastroenterol. 2017; 33:315–319.
7. Probst A, Golger D, Arnholdt H, Messmann H. Endoscopic submucosal dissection of early cancers, flat adenomas, and submucosal tumors in the gastrointestinal tract. Clin Gastroenterol Hepatol. 2009; 7:149–155.
Article
8. Jacques J, Albouys J, Guyot A, et al. Endoscopic submucosal dissection of a laterally spreading tumor in the right colon with a gastroscope after shortening the colon using a new double-balloon platform. Endoscopy. 2019; 51:E364–E365.
Article
9. Jawaid S, Yang D, Draganov PV. Tissue retractor system-assisted endoscopic submucosal dissection of a large rectal tumor with significant fibrosis from direct tattooing. VideoGIE. 2019; 4:84–86.
10. Mortagy M, Mehta N, Parsi MA, et al. Magnetic anchor guidance for endoscopic submucosal dissection and other endoscopic procedures. World J Gastroenterol. 2017; 23:2883–2890.
Article
11. Walter B, Schmidbaur S, Krieger Y, Meining A. Improved endoscopic resection of large flat lesions and early cancers using an external additional working channel (AWC): a case series. Endosc Int Open. 2019; 7:E298–E301.
Article
12. Oyama T. Counter traction makes endoscopic submucosal dissection easier. Clin Endosc. 2012; 45:375–378.
Article
13. Imaeda H, Hosoe N, Kashiwagi K, et al. Advanced endoscopic submucosal dissection with traction. World J Gastrointest Endosc. 2014; 6:286–295.
Article
14. Tsuji K, Yoshida N, Nakanishi H, Takemura K, Yamada S, Doyama H. Recent traction methods for endoscopic submucosal dissection. World J Gastroenterol. 2016; 22:5917–5926.
Article
15. Moher D, Shamseer L, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015; 4:1.
Article
16. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 [Internet]. London: Cochrane Training;c2011. [updated 2011 Mar; cited 2019 Feb 14]. Available from: https://training.cochrane.org/handbook/archive/v5.1/.
17. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010; 25:603–605.
Article
18. Yonezawa J, Kaise M, Sumiyama K, Goda K, Arakawa H, Tajiri H. A novel double-channel therapeutic endoscope (“R-scope”) facilitates endoscopic submucosal dissection of superficial gastric neoplasms. Endoscopy. 2006; 38:1011–1015.
Article
19. Gotoda T, Oda I, Tamakawa K, Ueda H, Kobayashi T, Kakizoe T. Prospective clinical trial of magnetic-anchor-guided endoscopic submucosal dissection for large early gastric cancer (with videos). Gastrointest Endosc. 2009; 69:10–15.
Article
20. Imaeda H, Hosoe N, Ida Y, et al. Novel technique of endoscopic submucosal dissection using an external grasping forceps for superficial gastric neoplasia. Dig Endosc. 2009; 21:122–127.
Article
21. Motohashi O, Nishimura K, Nakayama N, Takagi S, Yanagida N. Endoscopic submucosal dissection (two-point fixed ESD) for early esophageal cancer. Dig Endosc. 2009; 21:176–179.
Article
22. Uraoka T, Ishikawa S, Kato J, et al. Advantages of using thin endoscope-assisted endoscopic submucosal dissection technique for large colorectal tumors. Dig Endosc. 2010; 22:186–191.
Article
23. Hijikata Y, Ogasawara N, Sasaki M, et al. Endoscopic submucosal dissection with sheath-assisted counter traction using a novel sheath for early gastric cancers. Hepatogastroenterology. 2012; 59:353–356.
Article
24. Okamoto K, Muguruma N, Kitamura S, Kimura T, Takayama T. Endoscopic submucosal dissection for large colorectal tumors using a cross-counter technique and a novel large-diameter balloon overtube. Dig Endosc. 2012; 24 Suppl 1:96–99.
Article
25. Okamoto K, Okamura S, Muguruma N, et al. Endoscopic submucosal dissection for early gastric cancer using a cross-counter technique. Surg Endosc. 2012; 26:3676–3681.
Article
26. Ota M, Nakamura T, Hayashi K, et al. Usefulness of clip traction in the early phase of esophageal endoscopic submucosal dissection. Dig Endosc. 2012; 24:315–318.
Article
27. Ahn JY, Choi KD, Lee JH, et al. Is transnasal endoscope-assisted endoscopic submucosal dissection for gastric neoplasm useful in training beginners? A prospective randomized trial. Surg Endosc. 2013; 27:1158–1165.
Article
28. Higuchi K, Tanabe S, Azuma M, et al. Double-endoscope endoscopic submucosal dissection for the treatment of early gastric cancer accompanied by an ulcer scar (with video). Gastrointest Endosc. 2013; 78:266–273.
Article
29. Matsumoto K, Nagahara A, Ueyama H, et al. Development and clinical usability of a new traction device “medical ring” for endoscopic submucosal dissection of early gastric cancer. Surg Endosc. 2013; 27:3444–3451.
Article
30. Ritsuno H, Sakamoto N, Osada T, et al. Prospective clinical trial of traction device-assisted endoscopic submucosal dissection of large superficial colorectal tumors using the S-O clip. Surg Endosc. 2014; 28:3143–3149.
Article
31. Cai SL, Shi Q, Chen T, Zhong YS. Dental floss traction assists in treating gastrointestinal mucosal tumors by endoscopy. J Laparoendosc Adv Surg Tech A. 2015; 25:571–576.
Article
32. Koike Y, Hirasawa D, Fujita N, et al. Usefulness of the thread-traction method in esophageal endoscopic submucosal dissection: randomized controlled trial. Dig Endosc. 2015; 27:303–309.
Article
33. Noda H, Ogasawara N, Koshino A, et al. Thread-traction with a sheath of polypectomy snare facilitates endoscopic submucosal dissection of early gastric cancers. Gastroenterol Res Pract. 2016; 2016:9415497.
Article
34. Suzuki S, Gotoda T, Kobayashi Y, et al. Usefulness of a traction method using dental floss and a hemoclip for gastric endoscopic submucosal dissection: a propensity score matching analysis (with videos). Gastrointest Endosc. 2016; 83:337–346.
Article
35. Yamada S, Doyama H, Ota R, et al. Impact of the clip and snare method using the prelooping technique for colorectal endoscopic submucosal dissection. Endoscopy. 2016; 48:281–285.
Article
36. Yamasaki Y, Takeuchi Y, Uedo N, et al. Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study. Endosc Int Open. 2016; 4:E51–E55.
Article
37. Yoshida M, Takizawa K, Ono H, et al. Efficacy of endoscopic submucosal dissection with dental floss clip traction for gastric epithelial neoplasia: a pilot study (with video). Surg Endosc. 2016; 30:3100–3106.
Article
38. Jacques J, Legros R, Rivory J, et al. The “tunnel + clip” strategy standardised and facilitates oesophageal ESD procedures: a prospective, consecutive bi-centric study. Surg Endosc. 2017; 31:4838–4847.
39. Mori H, Kobara H, Nishiyama N, Fujihara S, Matsunaga T, Masaki T. Novel effective and repeatedly available ring-thread counter traction for safer colorectal endoscopic submucosal dissection. Surg Endosc. 2017; 31:3040–3047.
Article
40. Ogata K, Yanai M, Kuriyama K, et al. Double endoscopic intraluminal operation (DEILO) for early gastric cancer: outcome of novel procedure for endoscopic submucosal dissection. Anticancer Res. 2017; 37:343–347.
Article
41. Xie X, Bai JY, Fan CQ, et al. Application of clip traction in endoscopic submucosal dissection to the treatment of early esophageal carcinoma and precancerous lesions. Surg Endosc. 2017; 31:462–468.
Article
42. Hashimoto R, Hirasawa D, Iwaki T, et al. Usefulness of the S-O clip for gastric endoscopic submucosal dissection (with video). Surg Endosc. 2018; 32:908–914.
Article
43. Kitagawa Y, Suzuki T, Hara T, Yamaguchi T. Safety and efficacy of endoscopic submucosal dissection using IT knife nano with clip traction method for early esophageal squamous cell carcinoma. Surg Endosc. 2018; 32:450–455.
Article
44. Matsuzaki I, Hattori M, Hirose K, et al. Magnetic anchor-guided endoscopic submucosal dissection for gastric lesions (with video). Gastrointest Endosc. 2018; 87:1576–1580.
Article
45. Yamasaki Y, Takeuchi Y, Uedo N, et al. Efficacy of traction-assisted colorectal endoscopic submucosal dissection using a clip-and-thread technique: a prospective randomized study. Dig Endosc. 2018; 30:467–476.
Article
46. Yoshida M, Takizawa K, Suzuki S, et al. Conventional versus traction-assisted endoscopic submucosal dissection for gastric neoplasms: a multicenter, randomized controlled trial (with video). Gastrointest Endosc. 2018; 87:1231–1240.
Article
47. Zhang Q, Yao X, Cai JQ, Zhang BH, Wang Z. Snare combined with endoclips in endoscopic submucosal dissection with mucosal traction for gastroesophageal neoplasia. J Gastroenterol Hepatol. 2019; 34:1049–1057.
Article
48. Çolak Ş, Gürbulak B, Çakar E, Bektaş H. Resection of mucosal and submucosal gastrointestinal lesions and a double endoscope experience. JSLS. 2019; 23.
Article
49. Ye L, Yuan X, Pang M, et al. Magnetic bead-assisted endoscopic submucosal dissection: a gravity-based traction method for treating large superficial colorectal tumors. Surg Endosc. 2019; 33:2034–2041.
Article
50. Zhang Q, Xing TY, Wang Z. A snare combined with endoclips to assist in endoscopic submucosal dissection for intraepithelial neoplasia in the entire colon and rectum. Scand J Gastroenterol. 2019; 54:114–121.
Article
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