May 27, 2025Open Access

Dissection of giant bulky colorectal lesions with muscle retracting sign (MRS+). Strategic management of gravitational traction during ESD might be the solution

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Abstract

This case series demonstrates the efficacy of the aforementioned technique, yielding satisfactory results in the majority of cases-even those without curative resection. The application of this technique not only in giant rectal polyps but also in colonic protruding lesions amplifies the significance of the proposal.

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Zormpas et al. (Tue,) studied this question.

synapsesocial.com/papers/69da09372a25b240b7a3e14f https://doi.org/https://doi.org/10.1007/s10151-025-03151-1

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1A clip in the right place: successful endoscopic submucosal dissection of a cecal tumor exhibiting the muscle-retracting sign2021 · 2 citations
2Prevalence and clinical significance of the muscle retracting sign during endoscopic submucosal dissection of large macronodular colorectal lesions (with videos)2023 · 12 citations
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5Pocket-creation method of endoscopic submucosal dissection to achieve en bloc resection of giant colorectal subpedunculated neoplastic lesions2014 · 123 citations

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