Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case series
Background and Aims: Optimal exposure of the submucosal plane is essential for effective endoscopic submucosal dissection (ESD). The application of traction improves visualization and resection efficiency, but most described techniques rely on nonadaptive single-point fixation. Methods: We describe...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | VideoGIE |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S246844812500044X |
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| author | Kambiz S. Kadkhodayan, MD Shayan Irani, MD Saurabh Chandan, MD Sagar Pathak, MD Abdullah Abbasi, MD Maham Hayat, MD Muhammad K. Hasan, MD Dennis Yang, MD |
| author_facet | Kambiz S. Kadkhodayan, MD Shayan Irani, MD Saurabh Chandan, MD Sagar Pathak, MD Abdullah Abbasi, MD Maham Hayat, MD Muhammad K. Hasan, MD Dennis Yang, MD |
| author_sort | Kambiz S. Kadkhodayan, MD |
| collection | DOAJ |
| description | Background and Aims: Optimal exposure of the submucosal plane is essential for effective endoscopic submucosal dissection (ESD). The application of traction improves visualization and resection efficiency, but most described techniques rely on nonadaptive single-point fixation. Methods: We describe a novel multipoint, adjustable traction technique using the X-Tack Endoscopic Helix Tacking System. Three tacks are placed around the lesion margin, and a fourth tack is secured to the contralateral wall of the colon. By pulling on the polypropylene suture, upward, multipoint traction or “parachuting effect” was achieved. This resulted in lesion stability and improved submucosal exposure during colorectal ESD. Results: The traction technique was successfully applied in 3 patients. Conclusions: Multipoint adjustable traction using the helix tack system resulted in improved submucosal visualization, lesion stability, and adaptability during ESD. Further research is needed. |
| format | Article |
| id | doaj-art-4e2fc72c7c924980bcd9561c754cc5a9 |
| institution | Kabale University |
| issn | 2468-4481 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | VideoGIE |
| spelling | doaj-art-4e2fc72c7c924980bcd9561c754cc5a92025-08-20T03:24:07ZengElsevierVideoGIE2468-44812025-07-0110737237510.1016/j.vgie.2025.03.001Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case seriesKambiz S. Kadkhodayan, MD0Shayan Irani, MD1Saurabh Chandan, MD2Sagar Pathak, MD3Abdullah Abbasi, MD4Maham Hayat, MD5Muhammad K. Hasan, MD6Dennis Yang, MD7Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA; Corresponding author: Kambiz S. Kadkhodayan, MD, 3883 Ethan Lane, DE–01062, Orlando, Florida 2814, USA.Virginia Mason Medical Center, Seattle, Washington, USACenter for Interventional Endoscopy, AdventHealth, Orlando, Florida, USACenter for Interventional Endoscopy, AdventHealth, Orlando, Florida, USACenter for Interventional Endoscopy, AdventHealth, Orlando, Florida, USACenter for Interventional Endoscopy, AdventHealth, Orlando, Florida, USACenter for Interventional Endoscopy, AdventHealth, Orlando, Florida, USACenter for Interventional Endoscopy, AdventHealth, Orlando, Florida, USABackground and Aims: Optimal exposure of the submucosal plane is essential for effective endoscopic submucosal dissection (ESD). The application of traction improves visualization and resection efficiency, but most described techniques rely on nonadaptive single-point fixation. Methods: We describe a novel multipoint, adjustable traction technique using the X-Tack Endoscopic Helix Tacking System. Three tacks are placed around the lesion margin, and a fourth tack is secured to the contralateral wall of the colon. By pulling on the polypropylene suture, upward, multipoint traction or “parachuting effect” was achieved. This resulted in lesion stability and improved submucosal exposure during colorectal ESD. Results: The traction technique was successfully applied in 3 patients. Conclusions: Multipoint adjustable traction using the helix tack system resulted in improved submucosal visualization, lesion stability, and adaptability during ESD. Further research is needed.http://www.sciencedirect.com/science/article/pii/S246844812500044X |
| spellingShingle | Kambiz S. Kadkhodayan, MD Shayan Irani, MD Saurabh Chandan, MD Sagar Pathak, MD Abdullah Abbasi, MD Maham Hayat, MD Muhammad K. Hasan, MD Dennis Yang, MD Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case series VideoGIE |
| title | Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case series |
| title_full | Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case series |
| title_fullStr | Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case series |
| title_full_unstemmed | Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case series |
| title_short | Multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system: a case series |
| title_sort | multipoint adjustable traction for endoscopic submucosal dissection using a helix tack suturing system a case series |
| url | http://www.sciencedirect.com/science/article/pii/S246844812500044X |
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