Dynamic and multifocal clip and band countertraction for endoscopic submucosal dissection

Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece.


This video illustrates how to perform ESD with clip and band countertraction in the stomach and colon. We present several variations of clip and band countertraction. In particular, we demonstrate the standard technique, the application of multiple complexes for clips/bands for multifocal traction, as well as how to change the axis of traction during the procedure.

ESD endoscopists can get inspired by these techniques and adopt them in different clinical scenarios. Working with countertraction accelerates the procedure, makes it safer, and decreases the risk of inadvertent bleeding or perforation.

We strongly believe that clip and band countertraction is the new trend in ESD. Knowing the variations of this technique is of utmost importance for all ESD-focused endoscopists.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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