Clinical Report: Ascending Colon HGD ESD Procedure with DiLumen C1 and IgE Grasper

Background

Endoscopic submucosal dissection (ESD) is a critical technique for the removal of colorectal lesions, particularly in challenging locations such as the right colon. The use of traction devices has been shown to improve procedural outcomes by enhancing visibility and control during dissection.

Data Highlights

No numerical data provided in the source material.

Key Findings

• The DiLumen™ C1 overtube and IgE Grasper improve access and stability during ESD procedures.
• Independent, multidirectional traction is provided by the IgE Grasper, facilitating better dissection of lesions.
• Challenges in ESD procedures often stem from inadequate tissue retraction, which these tools aim to address.
• Traction-assisted ESD has been shown to shorten procedure times compared to conventional ESD.
• ESD allows for en bloc resection, which is crucial for accurate histopathologic assessment of large lesions.

Clinical Implications

The integration of advanced tools like the DiLumen™ C1 and IgE Grasper can enhance the effectiveness of ESD procedures, particularly in complex anatomical areas. Clinicians should consider these technologies to improve procedural outcomes and patient safety.

Conclusion

The use of Lumendi’s DiLumen™ C1 and IgE Grasper represents a significant advancement in the field of endoscopic submucosal dissection, potentially improving the management of colorectal lesions.

Related Resources & Content

1. Lumendi, DiLumen C2 (With Flexible Endoscopic Grasper) and Colonic ESD Procedures, 2023 -- Video Demonstration
2. Lumendi, ESD with DiLumen IgE; Grasp, Lift and Cut 2, 2023 -- Video Demonstration
3. Lumendi, Use of DiLumen™ Double Balloon System to Facilitate Dissection and Defect Closure during Colonic ESD, 2023 -- Video Demonstration
4. American Society for Gastrointestinal Endoscopy Technology Status Evaluation Report, 2026 -- ESD Tools and Techniques
5. Traction-assisted versus conventional endoscopic submucosal dissection for colorectal lesions: an updated systematic review and meta-analysis of randomized trials, 2026 -- PubMed
6. Endoscopic submucosal dissection versus endoscopic mucosal resection for colorectal laterally spreading tumors (> 20 mm): a systematic review and meta-analysis, 2026 -- Springer Nature
7. lumendi — Effective Colon Shortening Technique Featuring DiLumen™ EIP
8. American Society for Gastrointestinal Endoscopy Technology Status Evaluation Report: endoscopic submucosal dissection (with videos) - Gastrointestinal Endoscopy
9. Traction-assisted versus conventional endoscopic submucosal dissection for colorectal lesions: an updated systematic review and meta-analysis of randomized trials - PubMed
10. Endoscopic submucosal dissection versus endoscopic mucosal resection for colorectal laterally spreading tumors (> 20 mm): a systematic review and meta-analysis | Techniques in Coloproctology | Springer Nature Link