Entire traction using clip-and-nylon ring to facilitate endoscopic submucosal dissection of a laterally spreading tumor with fibrosis in the rectum

• DOI: 10.17235/reed.2023.9962/2023
• Publication Date: 2023-10-31T16:01:42Z
• Authors: Wen-Juan Ding; Ming Wang; Xiang-Rong Zhou; Zhi-Qiang Du; Wei-Hui Liu

A 78-year-old woman with hematochezia underwent a colonoscopy and found a 2 × 2-cm laterally spreading tumor (LST) in the rectum, 3 cm from the anus. Because of the risk related to anus preservation and the potential operative trauma, the patient refused surgery and was referred for ESD treatment. Here, we applied a novel entire traction method to deal with this subset of tumors.