Successful resection of protruding tumor with muscle-retracting sign during rectal endoscopic submucosal dissection using isolation method and picking technique with clutch cutter

Endoscopy 2022; 54(10): E536-E537
DOI: 10.1055/a-1669-8365

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Authors

Satoshi Abiko

Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan
Koji Hirata

Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan
Kazuharu Suzuki

Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan
Kenji Kinoshita

Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan
Kazuteru Hatanaka

Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan
Yoshiya Yamamoto

Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan
Hirohito Naruse

Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan

References
1 Toyonaga T, Tanaka S, Man-I M. et al. Clinical significance of the muscle-retracting sign during colorectal endoscopic submucosal dissection bloc resection can be very difficult. Endosc Int Open 2015; 3: E246-E251
2 Akahoshi K, Shiratsuchi Y, Oya M. et al. Endoscopic submucosal dissection with a grasping-type scissors for early colorectal epithelial neoplasms: a large single-center experience. VideoGIE 2019; 4: 486-492
3 Yoshida N, Dohi O, Inoue K. et al. Efficacy of scissor-type knives for endoscopic mucosal dissection of superficial gastrointestinal neoplasms. Dig Endosc 2020; 32: 4-15
4 Chiba H, Ohata K, Takita M. et al. Double-tunnel method for treatment of colorectal lesions with severe fibrosis with endoscopic submucosal dissection. Endoscopy 2018; 50: E168-E169
5 Abiko S, Yoshikawa A, Harada K. et al. Usefulness of a clutch cutter combined with an S-O clip in improving stability when opening the pocket in the pocket-creation method. Endoscopy 2020; 52: E128-E129