{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T13:06:51Z","timestamp":1773839211143,"version":"3.50.1"},"reference-count":5,"publisher":"Georg Thieme Verlag KG","issue":"07","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background and study aims What distinguishes endoscopic submucosal dissection (ESD) from endoscopic mucosal resection is the need for three foot pedals to activate the electrosurgical unit, flushing and knife injection. The lack of connection between the various pedals of different shapes and brands leads to numerous pedals displacements and potential mistakes. The aim of this study was to evaluate an Innovative PEdal FIXator (IPEFIX) to reduce pedal mistakes during ESD.<\/jats:p><jats:p>\n            Methods This was a prospective, multicenter, randomized study. Consecutive ESD procedures were randomly assigned to two groups: a control group with the three pedals free and the IPEFIX group in which the three pedals were linked by IPEFIX. The main outcome evaluated was the number of foot mistakes (wrong pedal, foot push beside the pedal).<\/jats:p><jats:p>\n            Results A total of 107 ESDs were performed by eight experts in five centers. The median number of mistakes per hour of ESD procedure was 0\/h in the IPEFIX group and 1.9\/h in the control group (P &lt;0.001). The mean number of times to look down to control the position of the pedals was 2.2\/h the IPEFIX group and 7.7\/h in the control group (P &lt;0.001). Mean replacements of the pedals were 0.\/h in the IPEFIX group and 1.7\/h in the control group (P &lt;0.001). Similar results were obtained in trainees in simulated ESD on animal models.<\/jats:p><jats:p>\n            Conclusions IPEFIX is a simple device to connect different pedals during endoscopic procedures. It helps to reduce the numbers of foot mistakes during ESD and improves operator comfort.<\/jats:p>","DOI":"10.1055\/a-2095-0197","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T22:56:57Z","timestamp":1684277817000},"page":"E635-E640","source":"Crossref","is-referenced-by-count":5,"title":["A 3D-printed pedal fixator for connecting different pedal-operated tools reduces the number of mistakes during endoscopic submucosal dissection"],"prefix":"10.1055","volume":"11","author":[{"given":"Clara","family":"Yzet","sequence":"additional","affiliation":[{"name":"Gastroenterology, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Rivory","sequence":"additional","affiliation":[{"name":"Gastroenterology, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thimothee","family":"Wallenhorst","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Gastroenterology, University Hospital Centre Rennes, Rennes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Grainville","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Gastroenterology, University Hospital Centre Rennes, Rennes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romain","family":"Legros","sequence":"additional","affiliation":[{"name":"Gastrenterology, Centre Hospitalier Universitaire Limoges Dupuytren, Limoges, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Lepilliez","sequence":"additional","affiliation":[{"name":"Gastroenterology, Jean Mermoz Private Hospital, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Leblanc","sequence":"additional","affiliation":[{"name":"Gastroenterology, chin University Hospital, Assistance Publique-H\u00f4pitaux de Paris and University of Paris, France, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Figueiredo Ferreira","sequence":"additional","affiliation":[{"name":"Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Universit\u00e9 Libre de Bruxelles (ULB), Bruxelles, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9a","family":"Perron","sequence":"additional","affiliation":[{"name":"Gastroenterology, Jean Mermoz Private Hospital, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1744-6036","authenticated-orcid":false,"given":"Pierre","family":"Lafeuille","sequence":"additional","affiliation":[{"name":"Gastroenterology, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikael","family":"Mochet","sequence":"additional","affiliation":[{"name":"Gastroenterology, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e9lia","family":"Virely","sequence":"additional","affiliation":[{"name":"CoLab 3D, Hospices Civils de Lyon, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peggy","family":"Leplat-Bonnevialle","sequence":"additional","affiliation":[{"name":"CoLab 3D, Hospices Civils de Lyon, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremie","family":"Jacques","sequence":"additional","affiliation":[{"name":"service d'h\u00e9pato-gastro-ent\u00e9rologie, CHU Dupuytren Limoges, Limoges, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Pioche","sequence":"additional","affiliation":[{"name":"Gastroenterology, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,11]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"E650","DOI":"10.1055\/a-1732-7477","article-title":"A 3D-printed innovative pedal fixator for connecting different pedal-operated tools to improve work ergonomics during advanced diagnostic and therapeutic endoscopic procedures","volume":"54","author":"C 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