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February 19, 2026EndoscopyOpen Access

Underwater endoscopic submucosal dissection with pocket method and an additional working channel: from traction to closure

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Authors

GAGabriele AltieriVita-Salute San Raffaele UniversityFMFrancesco Vito MandarinoVita-Salute San Raffaele UniversityJFJacopo FanizzaVita-Salute San Raffaele University

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Implication

Endoscopic submucosal dissection enhances resection margins in rectal neoplasia, suggesting reduced adverse events.

Key Points

  • This research aims to enhance the efficacy of endoscopic submucosal dissection (ESD) through improved techniques.
  • Utilized underwater endoscopic submucosal dissection with the pocket method.
  • Incorporated an additional working channel to facilitate foreign body grasping.
  • Monitored patient outcomes through histological examination after ESD.
  • Achieved effective visualization and countertraction during dissection.
  • Provided precise resection margins with the innovative techniques employed.
  • Reduced overall adverse events associated with traditional ESD methods.

Cite This Study

Altieri et al. (2026) studied this question.

synapsesocial.com/papers/6996712d80e1323b05ec042ehttps://doi.org/10.1055/a-2783-4248
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 20222022 · 817 citations
  2. 2Endoscopic En Bloc Versus Piecemeal Resection of Large Nonpedunculated Colonic Adenomas2023 · 137 citations
  3. 3Curriculum for endoscopic submucosal dissection training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement2019 · 177 citations
  4. 4Long-term clinical outcomes of endoscopic submucosal dissection for colorectal neoplasms in 423 cases: a retrospective study2017 · 101 citations