Advances in traction methods for endoscopic submucosal dissection: What is the best traction method and traction direction?

Figure 11  Endoscopic submucosal dissection using external forceps. A: External grasping forceps was anchored at the distal margin of the lesion in the lesser curvature of the antrum under the control of the endoscope and a second grasping forceps; B: With gentle oral traction applied with the external grasping forceps, the submucosal layer was dissected in retroversion from the aboral side. Citation: Imaeda H, Hosoe N, Kashiwagi K, Ohmori T, Yahagi N, Kanai T, Ogata H. Advanced endoscopic submucosal dissection with traction. World J Gastrointest Endosc 2014; 6(7): 286-295. Copyright © 2014 Baishideng Publishing Group Inc. Published by Baishideng Publishing Group Inc[35].