Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Apr 16, 2023; 15(4): 259-264
Published online Apr 16, 2023. doi: 10.4253/wjge.v15.i4.259
Two traction methods that can facilitate esophageal endoscopic submucosal dissection
Mitsuru Nagata
Mitsuru Nagata, Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Fujisawa 251-0041, Kanagawa, Japan
Author contributions: Nagata M has been associated with the conception, drafting of the article, and final approval of the article.
Conflict-of-interest statement: No financial relationships with a commercial entity producing health-care-related products and/or services relevant to this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Mitsuru Nagata, MD, Chief Doctor, Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, 1-5-1 Tsujidokandai, Fujisawa 251-0041, Kanagawa, Japan.
Received: December 19, 2022
Peer-review started: December 19, 2022
First decision: February 21, 2023
Revised: February 26, 2023
Accepted: March 30, 2023
Article in press: March 30, 2023
Published online: April 16, 2023
Core Tip

Core Tip: Clip-with-line (CWL) was developed to overcome the challenges faced in endoscopic submucosal dissection (ESD). A multicenter randomized controlled trial comparing the conventional ESD and CWL-assisted ESD (CWL-ESD) for large esophageal tumors was conducted in Japan. Results showed that CWL-ESD had a shorter procedure time without increasing the risk of adverse events. However, this study revealed that there were issues with the use of CWL-ESD for whole-circumferential and abdominal esophageal lesions. Endoscopic submucosal tunnel dissection may be a promising option for treating these lesions.