Unidirectional versus direction-selectable traction device in gastric endoscopic submucosal dissection: a randomized controlled trial.

ABSTRACT:

Background

The effects of traction direction in traction-assisted gastric endoscopic submucosal dissection (ESD) are underexplored. The clip-with-line (CWL) and spring-and-loop with clip (SLC) are unidirectional and direction-selectable traction devices, respectively. This study compared the procedure-related outcomes of CWL-assisted ESD (CWL-ESD) and SLC-assisted ESD (SLC-ESD) for superficial gastric neoplasms (SGNs).

Methods

This single-center randomized controlled trial included patients with SGNs who were randomly assigned to undergo CWL-ESD or SLC-ESD performed by an expert. The traction direction was classified as proximal, diagonally proximal, vertical, diagonally distal, or distal. Vertical traction (VT) was selected for SLC-ESD using the direction-selectable tractio

SUBMITTER: Nagata M 

PROVIDER: S-EPMC12500808 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature