Endoscopic submucosal dissection (ESD) is challenging in the colon due to limited submucosal space, as well as factors such as colonic folds and respiratory movements. Thus, traction-assisted endoscopy has gained attention 1; yet, the best traction technique remains under debate. The previously reported double-clip counter-traction method, while effective, faces limitations as the counter-traction effect diminishes and the submucosal space narrows during the procedure 2. In this study, we refined the double-clip counter-traction technique and introduced a preplacement sharp angle traction method (Video 1).
Wang et al. (Wed,) studied this question.