Endoscopic submucosal dissection with triangulated traction with clip and rubber band: the “wallet” strategy

Endoscopic submucosal dissection (ESD) is the reference method for the curative endoscopic resection of colorectal tumors [1] [2]. Nevertheless, it is technically challenging, and new strategies to facilitate the procedure are requested. Counter-traction strategies, such as the clip and rubber band approaches, allow the enlargement of the submucosal space [3] [4]. In the colon, line traction makes a tangential traction without triangulation, and...