{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:23:22Z","timestamp":1787664202204,"version":"build-2736575974"},"reference-count":53,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":70,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"DOI":"10.1186\/s12876-026-04993-1","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T02:16:26Z","timestamp":1781576186000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A network meta-analysis of strategies for endoscopic submucosal dissection procedures from the perspectives of efficacy, duration and safety"],"prefix":"10.1186","volume":"26","author":[{"given":"Guannan","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianying","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanqi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zitong","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhitao","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"issue":"6","key":"4993_CR1","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1111\/den.13591","volume":"32","author":"TR McCarty","year":"2020","unstructured":"McCarty TR, Aihara H. Current state of education and training for endoscopic submucosal dissection: Translating strategy and success to the USA. Dig Endosc. 2020;32(6):851\u201360.","journal-title":"Dig Endosc"},{"issue":"1","key":"4993_CR2","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1111\/den.13883","volume":"33","author":"H Ono","year":"2021","unstructured":"Ono H, Yao K, Fujishiro M, et al. Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer (second edition). Dig Endosc. 2021;33(1):4\u201320.","journal-title":"Dig Endosc"},{"issue":"9","key":"4993_CR3","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1111\/jgh.16339","volume":"38","author":"JW Li","year":"2023","unstructured":"Li JW, Ang TL. Underwater endoscopic submucosal dissection for colorectal tumors: The next step in the underwater evolution. J Gastroenterol Hepatol. 2023;38(9):1453\u20134.","journal-title":"J Gastroenterol Hepatol"},{"key":"4993_CR4","doi-asserted-by":"publisher","first-page":"1059636","DOI":"10.3389\/fonc.2022.1059636","volume":"12","author":"S Khan","year":"2022","unstructured":"Khan S, Ali FS, Ullah S, Huang X, Li H. Advancing endoscopic traction techniques in endoscopic submucosal dissection. Front Oncol. 2022;12:1059636.","journal-title":"Front Oncol"},{"issue":"12","key":"4993_CR5","doi-asserted-by":"publisher","first-page":"5031","DOI":"10.1007\/s00464-018-6278-x","volume":"32","author":"S Yoshii","year":"2018","unstructured":"Yoshii S, Akasaka T, Hayashi Y, et al. Underwater endoscopic submucosal dissection: a novel method for resection in saline with a bipolar needle knife for colorectal epithelial neoplasia. Surg Endosc. 2018;32(12):5031\u20136.","journal-title":"Surg Endosc"},{"issue":"Suppl 1","key":"4993_CR6","first-page":"E67","volume":"48","author":"S Yoshii","year":"2016","unstructured":"Yoshii S, Hayashi Y, Matsui T, et al. Underwater endoscopic submucosal dissection: a novel technique for complete resection of a rectal neuroendocrine tumor. Endoscopy. 2016;48(Suppl 1):E67\u20138.","journal-title":"Endoscopy"},{"issue":"9","key":"4993_CR7","doi-asserted-by":"publisher","first-page":"e024625","DOI":"10.1136\/bmjopen-2018-024625","volume":"9","author":"CH Daly","year":"2019","unstructured":"Daly CH, Neupane B, Beyene J, Thabane L, Straus SE, Hamid JS. Empirical evaluation of SUCRA-based treatment ranks in network meta-analysis: quantifying robustness using Cohen\u2019s kappa. BMJ Open. 2019;9(9):e024625.","journal-title":"BMJ Open"},{"issue":"11","key":"4993_CR8","doi-asserted-by":"publisher","first-page":"777","DOI":"10.7326\/M14-2385","volume":"162","author":"B Hutton","year":"2015","unstructured":"Hutton B, Salanti G, Caldwell DM, et al. The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Intern Med. 2015;162(11):777\u201384.","journal-title":"Ann Intern Med"},{"issue":"6","key":"4993_CR9","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1016\/j.gie.2024.06.039","volume":"100","author":"CK Oh","year":"2024","unstructured":"Oh CK, Chung HH, Park JK, et al. Comparing underwater endoscopic submucosal dissection and conventional endoscopic submucosal dissection for large laterally spreading tumor: a randomized controlled trial (with video). Gastrointest Endosc. 2024;100(6):1079\u2013e10871.","journal-title":"Gastrointest Endosc"},{"issue":"5","key":"4993_CR10","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1055\/a-2445-4970","volume":"57","author":"M Nagata","year":"2025","unstructured":"Nagata M, Namiki M, Fujikawa T, Munakata H. Prospective randomized trial comparing conventional and underwater endoscopic submucosal dissection for superficial colorectal neoplasms. Endoscopy. 2025;57(5):484\u201391.","journal-title":"Endoscopy"},{"key":"4993_CR11","first-page":"a24660718","volume":"13","author":"M Ito","year":"2025","unstructured":"Ito M, Miura Y, Mizuguchi Y, et al. Efficacy and safety of multi-loop traction device-assisted colorectal endoscopic submucosal dissection: Multicenter randomized clinical trial. Endosc Int Open. 2025;13:a24660718.","journal-title":"Endosc Int Open"},{"issue":"11","key":"4993_CR12","doi-asserted-by":"publisher","first-page":"3143","DOI":"10.1007\/s00464-014-3572-0","volume":"28","author":"H Ritsuno","year":"2014","unstructured":"Ritsuno H, Sakamoto N, Osada T, et al. Prospective clinical trial of traction device-assisted endoscopic submucosal dissection of large superficial colorectal tumors using the S-O clip. Surg Endosc. 2014;28(11):3143\u20139.","journal-title":"Surg Endosc"},{"issue":"1","key":"4993_CR13","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1111\/den.14426","volume":"35","author":"R Ichijima","year":"2023","unstructured":"Ichijima R, Ikehara H, Sumida Y, et al. Randomized controlled trial comparing conventional and traction endoscopic submucosal dissection for early colon tumor (CONNECT-C trial). Dig Endosc. 2023;35(1):86\u201393.","journal-title":"Dig Endosc"},{"issue":"2","key":"4993_CR14","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1016\/j.gie.2019.03.023","volume":"90","author":"H Harada","year":"2019","unstructured":"Harada H, Nakahara R, Murakami D, et al. Saline-pocket endoscopic submucosal dissection for superficial colorectal neoplasms: a randomized controlled trial (with video). Gastrointest Endosc. 2019;90(2):278\u201387.","journal-title":"Gastrointest Endosc"},{"issue":"4","key":"4993_CR15","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1111\/den.13036","volume":"30","author":"Y Yamasaki","year":"2018","unstructured":"Yamasaki Y, Takeuchi Y, Uedo N, et al. Efficacy of traction-assisted colorectal endoscopic submucosal dissection using a clip-and-thread technique: A prospective randomized study. Dig Endosc. 2018;30(4):467\u201376.","journal-title":"Dig Endosc"},{"issue":"11","key":"4993_CR16","doi-asserted-by":"publisher","first-page":"1797","DOI":"10.14309\/ajg.0000000000002019","volume":"117","author":"Y Tamaru","year":"2022","unstructured":"Tamaru Y, Kuwai T, Miyakawa A, et al. Efficacy of a Traction Device for Endoscopic Submucosal Dissection Using a Scissor-Type Knife: A Randomized Controlled Trial. Am J Gastroenterol. 2022;117(11):1797\u2013804.","journal-title":"Am J Gastroenterol"},{"issue":"7","key":"4993_CR17","doi-asserted-by":"publisher","first-page":"3040","DOI":"10.1007\/s00464-016-5326-7","volume":"31","author":"H Mori","year":"2017","unstructured":"Mori H, Kobara H, Nishiyama N, Fujihara S, Matsunaga T, Masaki T. Novel effective and repeatedly available ring-thread counter traction for safer colorectal endoscopic submucosal dissection. Surg Endosc. 2017;31(7):3040\u20137.","journal-title":"Surg Endosc"},{"issue":"1","key":"4993_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0197-2456(95)00134-4","volume":"17","author":"AR Jadad","year":"1996","unstructured":"Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary. Control Clin Trials. 1996;17(1):1\u201312.","journal-title":"Control Clin Trials"},{"issue":"12","key":"4993_CR19","first-page":"941","volume":"112","author":"HJ Zhao","year":"2020","unstructured":"Zhao HJ, Yin J, Ji CY, Wang X, Wang N. Endoscopic mucosal resection versus endoscopic submucosal dissection for colorectal laterally spreading tumors: a meta-analysis. Rev Esp Enferm Dig. 2020;112(12):941\u20137.","journal-title":"Rev Esp Enferm Dig"},{"issue":"1","key":"4993_CR20","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1007\/s10120-008-0452-0","volume":"11","author":"H Ono","year":"2008","unstructured":"Ono H, Hasuike N, Inui T, et al. Usefulness of a novel electrosurgical knife, the insulation-tipped diathermic knife-2, for endoscopic submucosal dissection of early gastric cancer. Gastric Cancer. 2008;11(1):47\u201352.","journal-title":"Gastric Cancer"},{"issue":"5","key":"4993_CR21","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1055\/s-0028-1106782","volume":"98","author":"P Deyhle","year":"1973","unstructured":"Deyhle P, Jenny S, Fumagalli I. [Endoscopic polypectomy in the proximal colon. A diagnostic, therapeutic (and preventive?) intervention]. Dtsch Med Wochenschr. 1973;98(5):219\u201320.","journal-title":"Dtsch Med Wochenschr"},{"issue":"4","key":"4993_CR22","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1111\/den.12456","volume":"27","author":"S Tanaka","year":"2015","unstructured":"Tanaka S, Kashida H, Saito Y, et al. JGES guidelines for colorectal endoscopic submucosal dissection\/endoscopic mucosal resection. Dig Endosc. 2015;27(4):417\u201334.","journal-title":"Dig Endosc"},{"issue":"6","key":"4993_CR23","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1016\/j.suc.2020.07.004","volume":"100","author":"MD Landin","year":"2020","unstructured":"Landin MD, Guerr\u00f3n AD. Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection. Surg Clin North Am. 2020;100(6):1069\u201378.","journal-title":"Surg Clin North Am"},{"issue":"3","key":"4993_CR24","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1016\/j.gie.2013.09.014","volume":"79","author":"N Hayashi","year":"2014","unstructured":"Hayashi N, Tanaka S, Nishiyama S, et al. Predictors of incomplete resection and perforation associated with endoscopic submucosal dissection for colorectal tumors. Gastrointest Endosc. 2014;79(3):427\u201335.","journal-title":"Gastrointest Endosc"},{"issue":"11","key":"4993_CR25","doi-asserted-by":"publisher","first-page":"8021","DOI":"10.1007\/s00464-022-09228-4","volume":"36","author":"X Liu","year":"2022","unstructured":"Liu X, Yu X, Wang Y, et al. Effectiveness of a novel traction device in endoscopic submucosal dissection for colorectal lesions. Surg Endosc. 2022;36(11):8021\u20139.","journal-title":"Surg Endosc"},{"issue":"1","key":"4993_CR26","doi-asserted-by":"publisher","first-page":"18648","DOI":"10.1038\/s41598-024-67214-3","volume":"14","author":"L Zheng","year":"2024","unstructured":"Zheng L, Xu B, Wang F, et al. Outcome and predictive factors for perforation in orthodontic rubber band-assisted endoscopic submucosal dissection of fibrotic colorectal lesions. Sci Rep. 2024;14(1):18648.","journal-title":"Sci Rep"},{"issue":"4","key":"4993_CR27","doi-asserted-by":"publisher","first-page":"265","DOI":"10.4253\/wjge.v15.i4.265","volume":"15","author":"M Nagata","year":"2023","unstructured":"Nagata M. Device-assisted traction methods in colorectal endoscopic submucosal dissection and options for difficult cases. World J Gastrointest Endosc. 2023;15(4):265\u201372.","journal-title":"World J Gastrointest Endosc"},{"key":"4993_CR28","doi-asserted-by":"publisher","unstructured":"Dell'Unto E, Rimondi A, Kalopitas G, et al. The saline-immersion\/irrigation technique (SITE) for colonic endoscopic submucosal dissection (ESD): a comprehensive evaluation of outcomes, efficacy, and safety. Saudi J Gastroenterol. https:\/\/doi.org\/10.4103\/sjg.sjg_422_25.\u00a0Published online 3 Dec 2025.","DOI":"10.4103\/sjg.sjg_422_25"},{"issue":"6","key":"4993_CR29","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1136\/gutjnl-2024-332002","volume":"73","author":"A Capogreco","year":"2024","unstructured":"Capogreco A, Hassan C, De Blasio F, et al. Prophylactic underwater vessel coagulation for submucosal endoscopy. Gut. 2024;73(6):1049\u201351.","journal-title":"Gut"},{"issue":"5","key":"4993_CR30","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1016\/j.gie.2024.05.013","volume":"100","author":"R de Sire","year":"2024","unstructured":"de Sire R, Capogreco A, Massimi D, et al. Underwater coagulation: is it time to retire the coagulation forceps? Gastrointest Endosc. 2024;100(5):959.","journal-title":"Gastrointest Endosc"},{"issue":"1","key":"4993_CR31","doi-asserted-by":"publisher","first-page":"4388","DOI":"10.1038\/s41598-024-83503-3","volume":"15","author":"A Capogreco","year":"2025","unstructured":"Capogreco A, Maselli R, Enderle M, et al. Different behavior of electrosurgical currents between air and saline immersion therapeutic endoscopy. Sci Rep. 2025;15(1):4388.","journal-title":"Sci Rep"},{"issue":"1","key":"4993_CR32","doi-asserted-by":"publisher","first-page":"58","DOI":"10.5152\/tjg.2020.19207","volume":"31","author":"M Esaki","year":"2020","unstructured":"Esaki M, Minoda Y, Ihara E, et al. Efficacy of traction, using a clip-with-thread, for esophageal endoscopic submucosal dissection for esophageal lesions with fibrosis in an ex vivo pig training model. Turk J Gastroenterol. 2020;31(1):58\u201364.","journal-title":"Turk J Gastroenterol"},{"issue":"6","key":"4993_CR33","doi-asserted-by":"publisher","first-page":"4505","DOI":"10.3233\/THC-240653","volume":"32","author":"L Cui","year":"2024","unstructured":"Cui L, Zhang X, Wen Y, et al. Experimental study of magnetic hydrogel assisted magnetic anchorguided endoscopic submucosal dissection in colonic tumors. Technol Health Care. 2024;32(6):4505\u201314.","journal-title":"Technol Health Care"},{"issue":"1","key":"4993_CR34","doi-asserted-by":"publisher","first-page":"e70052","DOI":"10.1002\/deo2.70052","volume":"5","author":"Y Miura","year":"2025","unstructured":"Miura Y, Tsuji Y, Miyata R, Fujisawa A, Tsukihara H, Fujishiro M. Effectiveness of a novel traction device (TRACMOTION) for endoscopic submucosal dissection using a scissor-type knife: An animal pilot study and clinical experiences. DEN Open. 2025;5(1):e70052.","journal-title":"DEN Open"},{"issue":"7","key":"4993_CR35","doi-asserted-by":"publisher","first-page":"4641","DOI":"10.1007\/s00464-025-11807-0","volume":"39","author":"S Ishizaka","year":"2025","unstructured":"Ishizaka S, Tashima T, Kawasaki T, et al. Planned use of a novel Elastic Traction Device improves efficiency in colorectal endoscopic submucosal dissection: a propensity-score matched study. Surg Endosc. 2025;39(7):4641\u201351.","journal-title":"Surg Endosc"},{"issue":"2","key":"4993_CR36","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.vgie.2025.09.005","volume":"11","author":"G Mavrogenis","year":"2026","unstructured":"Mavrogenis G, Vogli S, Dimitriadis S, et al. Anchor-pronged clip-assisted countertraction in submucosal tunneling endoscopic resection and endoscopic submucosal dissection: a novel technique for submucosal tumors. VideoGIE. 2026;11(2):46\u201350.","journal-title":"VideoGIE"},{"issue":"9","key":"4993_CR37","doi-asserted-by":"publisher","first-page":"1566","DOI":"10.1111\/jgh.16259","volume":"38","author":"Y Koyama","year":"2023","unstructured":"Koyama Y, Fukuzawa M, Aikawa H, et al. Underwater endoscopic submucosal dissection for colorectal tumors decreases the incidence of post-electrocoagulation syndrome. J Gastroenterol Hepatol. 2023;38(9):1566\u201375.","journal-title":"J Gastroenterol Hepatol"},{"issue":"1","key":"4993_CR38","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1007\/s11894-025-00993-5","volume":"27","author":"G Chhabra","year":"2025","unstructured":"Chhabra G, Shine A, Liu N. Underwater Endoscopy: Diving into the Future of Gastrointestinal Endoscopy. Curr Gastroenterol Rep. 2025;27(1):47.","journal-title":"Curr Gastroenterol Rep"},{"issue":"4","key":"4993_CR39","first-page":"716","volume":"17","author":"S Chen","year":"2022","unstructured":"Chen S, Shi H, Dong F, Huang H. Gas-alternating-water infusion method with\/without internal traction assistance: a novel technique of endoscopic submucosal dissection for large colorectal tumors regardless of gravity direction. Wideochir Inne Tech Maloinwazyjne. 2022;17(4):716\u201321.","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"4993_CR40","doi-asserted-by":"crossref","first-page":"01","DOI":"10.1055\/a-2193-8655","volume":"56","author":"M Nagata","year":"2024","unstructured":"Nagata M. Continuous low water pressure dissection technique minimizing air bubbles during underwater endoscopic submucosal dissection. Endoscopy. 2024;56:01.","journal-title":"Endoscopy"},{"key":"4993_CR41","doi-asserted-by":"crossref","first-page":"01","DOI":"10.1055\/a-1968-2911","volume":"55","author":"K Hamada","year":"2023","unstructured":"Hamada K, Horikawa Y, Shiwa Y, et al. Underwater and traction-assisted endoscopic submucosal dissection in the gastric fundus using a multibending endoscope. Endoscopy. 2023;55:01.","journal-title":"Endoscopy"},{"key":"4993_CR42","doi-asserted-by":"publisher","first-page":"01","DOI":"10.1055\/a-2686-3672","volume":"57","author":"J Cao","year":"2025","unstructured":"Cao J, Song Y, Li DF, et al. Internal traction combined with underwater endoscopic submucosal dissection for a rectal neuroendocrine tumor. Endoscopy. 2025;57:01.","journal-title":"Endoscopy"},{"issue":"4","key":"4993_CR43","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1002\/jgh3.12298","volume":"4","author":"CT Zorron","year":"2020","unstructured":"Zorron CT, Pu L, Yamamura T, Nakamura M, et al. Learning curve for mastery of colorectal endoscopic submucosal dissection: Perspectives from a large Japanese cohort. JGH Open. 2020;4(4):611\u20136.","journal-title":"JGH Open"},{"issue":"3","key":"4993_CR44","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1111\/den.14435","volume":"35","author":"Y Fujiyoshi","year":"2023","unstructured":"Fujiyoshi Y, Inoue H, Fujiyoshi M, et al. Learning curve for peroral endoscopic myotomy in therapeutic endoscopy experts and nonexperts: Large single-center experience. Dig Endosc. 2023;35(3):323\u201331.","journal-title":"Dig Endosc"},{"issue":"7","key":"4993_CR45","doi-asserted-by":"publisher","first-page":"1521","DOI":"10.14309\/ajg.0000000000003239","volume":"120","author":"L Zheng","year":"2024","unstructured":"Zheng L, Chen L, Xu B, et al. Orthodontic Rubber Band Traction Improves Trainees\u2019 Learning Curve of Colorectal Endoscopic Submucosal Dissection: A Prospective Randomized Study. Am J Gastroenterol. 2024;120(7):1521\u20138.","journal-title":"Am J Gastroenterol"},{"issue":"6","key":"4993_CR46","doi-asserted-by":"publisher","first-page":"4462","DOI":"10.1007\/s00464-021-08799-y","volume":"36","author":"Y Mitsuyoshi","year":"2022","unstructured":"Mitsuyoshi Y, Ide D, Ohya TR, et al. Training program using a traction device improves trainees\u2019 learning curve of colorectal endoscopic submucosal dissection. Surg Endosc. 2022;36(6):4462\u20139.","journal-title":"Surg Endosc"},{"issue":"5\u20136","key":"4993_CR47","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1111\/1751-2980.13107","volume":"23","author":"XY Huang","year":"2022","unstructured":"Huang XY, Ji M, Li P, et al. New traction method (traction ring) for colorectal endoscopic submucosal dissection. J Dig Dis. 2022;23(5\u20136):318\u201323.","journal-title":"J Dig Dis"},{"issue":"13","key":"4993_CR48","doi-asserted-by":"publisher","first-page":"e29172","DOI":"10.1097\/MD.0000000000029172","volume":"101","author":"J Kinoshita","year":"2022","unstructured":"Kinoshita J, Iguchi M, Maekita T, et al. Traction method versus conventional endoscopic submucosal dissection for gastric epithelial neoplasms: A randomized controlled trial. Med (Baltim). 2022;101(13):e29172.","journal-title":"Med (Baltim)"},{"issue":"1","key":"4993_CR49","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1186\/s12957-019-1639-z","volume":"17","author":"M Xia","year":"2019","unstructured":"Xia M, Zhou Y, Yu J, Chen W, Huang X, Liao J. Short-term outcomes of traction-assisted versus conventional endoscopic submucosal dissection for superficial gastrointestinal neoplasms: a systematic review and meta-analysis of randomized controlled studies. World J Surg Oncol. 2019;17(1):94.","journal-title":"World J Surg Oncol"},{"issue":"3","key":"4993_CR50","doi-asserted-by":"publisher","first-page":"1775","DOI":"10.1007\/s00464-021-08452-8","volume":"36","author":"C Lopimpisuth","year":"2022","unstructured":"Lopimpisuth C, Simons M, Akshintala VS, Prasongdee K, Nanavati J, Ngamruengphong S. Traction-assisted endoscopic submucosal dissection reduces procedure time and risk of serious adverse events: a systematic review and meta-analysis. Surg Endosc. 2022;36(3):1775\u201388.","journal-title":"Surg Endosc"},{"issue":"9","key":"4993_CR51","doi-asserted-by":"publisher","first-page":"E1225","DOI":"10.1055\/a-1882-4306","volume":"10","author":"P Cecinato","year":"2022","unstructured":"Cecinato P, Lucarini M, Campanale C, Azzolini F, Bassi F, Sassatelli R. Underwater endoscopic submucosal dissection and hybrid endoscopic submucosal dissection as rescue therapy in difficult colorectal cases. Endosc Int Open. 2022;10(9):E1225\u201332.","journal-title":"Endosc Int Open"},{"issue":"5","key":"4993_CR52","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1159\/000511731","volume":"102","author":"H Kaku","year":"2021","unstructured":"Kaku H, Toyonaga T, Tanaka S, et al. Endoscopic Submucosal Dissection Using EndoTrac, a Novel Traction Device. Digestion. 2021;102(5):714\u201321.","journal-title":"Digestion"},{"issue":"5","key":"4993_CR53","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1016\/j.gie.2017.11.032","volume":"87","author":"M Nagata","year":"2018","unstructured":"Nagata M. Usefulness of underwater endoscopic submucosal dissection in saline solution with a monopolar knife for colorectal tumors (with videos). Gastrointest Endosc. 2018;87(5):1345\u201353.","journal-title":"Gastrointest Endosc"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-026-04993-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-026-04993-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-026-04993-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:02:58Z","timestamp":1787662978000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12876-026-04993-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":53,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4993"],"URL":"https:\/\/doi.org\/10.1186\/s12876-026-04993-1","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]},"assertion":[{"value":"14 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"522"}}