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. 2015 Sep 15;9(5):590–600. doi: 10.5009/gnl14380

Fig. 6.

Fig. 6

Mechanical Counter-Traction System (MCTS). (A) The MCTS is housed inside an overtube with a 20-mm diameter. (B) When the overtube is pulled, eight expansion arms widen the collapsing stomach wall. (C) In an in vivo experiment in a dog, sufficient expansion of the surgical field allowed endoscopic full-thickness resection to be accomplished without insufflation.