Efficacy of the traction method for gastric endoscopic submucosal dissection: a randomized controlled trial (with videos) - 16/07/24
, Takao Maekita, MD, PhD 1, Ke Wan, PhD 2, Toshio Shimokawa, PhD 2, Kazuhiro Fukatsu, MD, PhD 3, Shinya Taki, MD 1, Fumiaki Kuwashima, MD 1, Masaki Takao, MD 1, Masayuki Kitano, MD, PhD 1Abstract |
Background and Aims |
To overcome the technical difficulties associated with gastric endoscopic submucosal dissection (ESD), a novel traction device that can alter the direction of traction was developed. This study compared the efficacy and safety of conventional ESD versus those of traction-assisted gastric ESD.
Methods |
Patients with a single gastric epithelial neoplasm were randomized to receive conventional (n = 75) or traction-assisted (n = 73) gastric ESD. The primary outcome was ESD procedure time.
Results |
There were no differences between the conventional and traction-assisted groups with respect to treatment results or adverse events. The mean procedure time was similar for both groups (78.9 vs 88.3 minutes, respectively; P = .3); however, times for the traction device tended to be shorter for lesions in the lesser curvature of the upper or middle stomach (84.6 vs 123.2 minutes; P = .057).
Conclusions |
Traction-assisted ESD for lesions in the lesser curvature of the upper or middle stomach were shorter, thereby reducing the procedure time of conventional ESD. (Clinical trial registration: University Hospital Medial Information Network Clinical Trials Registry, identifier 000044450.)
Le texte complet de cet article est disponible en PDF.Abbreviation : ESD
Plan
| DIVERSITY, EQUITY, AND INCLUSION: We worked to ensure that the language of the study questionnaires reflected inclusion. One or more of the authors of this paper self-identifies as an under-represented ethnic minority in science. |
Vol 100 - N° 2
P. 307 - août 2024 Retour au numéro
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