Counter-traction with the ProdiGI Traction Magnet facilitates colorectal ESD and can improve patient outcomes

Aims Endoscopic submucosal dissection (ESD) is a challenging procedure for resection of early neoplasias. Countertraction can improve access to the submucosal layer and facilitate ESD. We aimed to evaluate the ProdiGI Traction magnet for colorectal ESD.

Methods Colorectal lesions resected with assistance of the traction magnet device were evaluated. The primary endpoint was technical and clinical success of ESD including en bloc and R0 resection. Secondary endpoints were complication and recurrence rates.

Results Fifteen colorectal ESD procedures (11x rectum, 3x sigmoid, 1x transverse colon) with the Traction Magnet Device were performed. All procedures were technically feasible and none was discountinued during implementation of the method. Attachment of the clips to the mucosal flap and the intestinal wall, respectively, was feasible without detachment of the clips or the magnets. En Bloc and complete resection rates were 100%, respectively. No immediate or delayed complications related to the procedure occured, while on follow-up endoscopy at 3 months, residual/recurrent tumor was not detected in any of the patients (n=0, 0,0%).

Conclusions The Prodigi Traction magnet can assist endosocpists and improve outcomes during colorectal ESD.

 

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publikationsverlauf

Artikel online veröffentlicht:
14. April 2023