Review
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World J Gastrointest Endosc. Jul 16, 2014; 6(7): 286-295
Published online Jul 16, 2014. doi: 10.4253/wjge.v6.i7.286
Advanced endoscopic submucosal dissection with traction
Hiroyuki Imaeda, Naoki Hosoe, Kazuhiro Kashiwagi, Tai Ohmori, Naohisa Yahagi, Takanori Kanai, Haruhiko Ogata
Hiroyuki Imaeda, Department of General Internal Medicine, Saitama Medical University, Saitama 350-0495, Japan
Naoki Hosoe, Kazuhiro Kashiwagi, Tai Ohmori, Haruhiko Ogata, Center for Diagnostic and Therapeutic Endoscopy, School of Medicine, Keio University, 108-8345 Tokyo, Japan
Naohisa Yahagi, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University, 108-8345 Tokyo, Japan
Takanori Kanai, Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Keio University, 108-8345 Tokyo, Japan
Author contributions: All authors contributed to this work.
Correspondence to: Hiroyuki Imaeda, MD, Department of General Internal Medicine, Saitama Medical University, 38 Morohongo, Moroyama-machi, Iruma-gun, 350-0495 Saitama, Japan. imaedahi@yahoo.co.jp
Telephone: +81-49-2761667 Fax: +81-49-2761667
Received: November 28, 2013
Revised: May 28, 2014
Accepted: June 18, 2014
Published online: July 16, 2014
Core Tip

Core tip: Endoscopic submucosal dissection (ESD) is associated with several adverse events, therefore, it requires more skill. Adequate tissue tension and clear visibility of the tissue to be dissected by traction are important for effective and safe ESD like surgery. Many ESD methods with traction have been reported until now. We review these ESD methods not only for early stage gastric cancer but also for early esophageal cancer or colonic cancer. We highlight both advantages and disadvantages of these methods.