Muscle Retracting Sign: 1 Sign, 2 Very Different Decisions in ESD

Описание: Muscle Retracting Sign in ESD

🔬 In this video, we explore the muscle-retracting sign (MRS) in colorectal ESD, one sign with two opposite meanings: read it wrong and you either give up on a curable lesion, or you dissect straight into a cancer.

What you'll learn:
✅ How to recognize the muscle-retracting sign at the table
✅ Fibrosis vs cancer: telling severe submucosal fibrosis (still curable) from deep submucosal invasion
✅ How to rebuild a plane with adaptive traction (ATRACT), patient repositioning and pocket-creation
✅ When to stop and refer for surgery to avoid non-curative resection and perforation

🎯 Want to go further? Join our community for more ESD resources and training, plus our ATRACT traction device that helps maintain the correct dissection plane, with Pr Mathieu Pioche.

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💬 Share your experiences and questions in the comments!

Keywords: ESD, endoscopic submucosal dissection, muscle retracting sign, MRS, submucosal fibrosis, colorectal ESD, traction, ATRACT, pocket-creation, non-curative resection, deep submucosal invasion, perforation.