{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:23:20Z","timestamp":1793381000378,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100019081","name":"Science and Technology Program of Hunan Province","doi-asserted-by":"publisher","award":["XYYYJSTG\u201011"],"award-info":[{"award-number":["XYYYJSTG\u201011"]}],"id":[{"id":"10.13039\/501100019081","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019081","name":"Science and Technology Program of Hunan Province","doi-asserted-by":"publisher","award":["2020SK2068"],"award-info":[{"award-number":["2020SK2068"]}],"id":[{"id":"10.13039\/501100019081","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Endoscopic full\u2010thickness resection (EFTR) is a promising technique in treating gastric submucosal tumors originating from the muscularis propria (SMT\u2010MPs). However, it is challenging without counter\u2010traction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A snare was inserted through the forceps channel to grasp the part of the tumor or the mucosa connected to the tumor. The outer sheath and inner wire of snare <jats:italic>in vitro<\/jats:italic> were fixed by a pair of hemostatic forceps. The handle of snare was cut off, and the endoscope was pulled out without affecting the traction state of snare. Snare\u2010assisted EFTR (EFTR\u2010S) was then performed with counter\u2010traction. One hundred and four patients with gastric SMT\u2010MPs who received the procedure of EFTR with or without snare traction method were retrospectively analyzed using univariate and multiple regressions, and covariates were adjusted in the multiple analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with EFTR group (<jats:italic>n<\/jats:italic>\u00a0=\u00a036), EFTR\u2010S group (<jats:italic>n<\/jats:italic>\u00a0=\u00a068) showed a higher operative success rate (95.6% <jats:italic>vs<\/jats:italic> 72.2%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.001), a lower incidence of intraoperative hemorrhage (4.4% <jats:italic>vs<\/jats:italic> 16.7%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.038) and shorter operative time among operative successes (53.6\u00a0\u00b1\u00a016.6\u00a0min <jats:italic>vs<\/jats:italic> 67.7\u00a0\u00b1\u00a033.4\u00a0min, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Univariate logistic analysis showed that snare traction represented a significant factor, which could improve operative successful rate (odds ratio, 8.3; 95% confidence interval, 2.1 to 32.7; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.002). Postoperative outcomes and adverse events among operative successes were similar between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This novel snare traction method may provide an effective counter\u2010traction and reduce the difficulty of EFTR for gastric SMT\u2010MPs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.16428","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T02:06:27Z","timestamp":1701137187000},"page":"535-543","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Facilitating endoscopic full\u2010thickness resection for gastric submucosal tumors with a novel snare traction method (with video)"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6547-5459","authenticated-orcid":false,"given":"Lei","family":"Gu","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaotong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fujun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4578-4367","authenticated-orcid":false,"given":"Yu","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xiangya Hospital Central South University  Changsha China"},{"name":"Hunan International Scientific and Technological Cooperation Base of Artificial Intelligence Computer Aided Diagnosis and Treatment for Digestive Disease (2020CB1004)  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1193-4277","authenticated-orcid":false,"given":"Xiaowei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xiangya Hospital Central South University  Changsha China"},{"name":"Hunan International Scientific and Technological Cooperation Base of Artificial Intelligence Computer Aided Diagnosis and Treatment for Digestive Disease (2020CB1004)  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University  Changsha 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