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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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