Endoscopic Submucosal Dissection in the Colorectum: Not Just for Mucosal Lesions
نویسندگان
چکیده
منابع مشابه
JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection.
Colorectal endoscopic submucosal dissection (ESD) has become common in recent years. Suitable lesions for endoscopic treatment include not only early colorectal carcinomas but also many types of precarcinomatous adenomas. It is important to establish practical guidelines in which the preoperative diagnosis of colorectal neoplasia and the selection of endoscopic treatment procedures are properly...
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Endoscopic submucosal dissection (ESD) has been accepted as a minimal invasive alternative to surgery for localized superficial gastrointestinal neoplasms recently. However, the procedure remains to be technically challenging and time consuming. A new dissecting knife with partially insulated tip has been recently developed with built-in injection capability. The purpose of this study was to in...
متن کاملSubmucosal injection solution for gastrointestinal tract endoscopic mucosal resection and endoscopic submucosal dissection
Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have provided new alternatives for minimally invasive treatment of gastrointestinal adenomas and early-stage cancers that involve a minimum risk of lymph-node metastasis. The use of submucosal injections is essential to the success of these endoscopic resection techniques. The "ideal" submucosal injection solution sho...
متن کاملPredictive factors for technically difficult endoscopic submucosal dissection in the colorectum.
BACKGROUND AND STUDY AIMS Because of technical difficulty, colorectal endoscopic submucosal dissection (CR-ESD) is not widely performed. We aimed to determine risk factors for such technical difficulty as defined by long procedure duration (≥ 150 min), perforation, and piecemeal resection. PATIENTS AND METHODS Patients with consecutive colorectal tumors treated with ESD between April 2006 an...
متن کاملEndoscopic submucosal dissection in the West: difficult but not impossible
The detection rate of early gastric cancer (EGC) in the West constitutes 10% of endoscopically diagnosed gastric carcinoma cases. In contrast, Japanese endoscopists recognize 50% of gastric cancer at an early stage [1]. In these cases, endoscopic submucosal dissection (ESD) technique is considered as the first option for accurate histopathological assessment and alternative therapy to surgery i...
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ژورنال
عنوان ژورنال: Clinical Gastroenterology and Hepatology
سال: 2016
ISSN: 1542-3565
DOI: 10.1016/j.cgh.2015.12.016