Tips for Safety in Endoscopic Submucosal Dissection for Colorectal Tumors

Overview

Journal Ann Transl Med

Publisher AME Publishing Company

Date 2017 Jun 16

PMID 28616400

Citations 9

Authors

Naohisa Yoshida

Yuji Naito

Takaaki Murakami

Ryohei Hirose

Kiyoshi Ogiso

Yutaka Inada

Rafiz Abdul Rani

Mitsuo Kishimoto

Masayoshi Nakanishi

Yoshito Itoh

Affiliations

Soon will be listed here.

Abstract

In Japan, endoscopic submucosal dissection (ESD) becomes one of standard therapies for large colorectal tumors. Recently, the efficacy of ESD has been reported all over the world. However, it is still difficult even for Japanese experts in some situations. Right-sided location, large tumor size, high degree of fibrosis, difficult manipulation is related with the difficulty. However, improvements on ESD devices, suitable strategies, and increase of operators' experiences enable us to solve these problems. In this chapter, we introduce recent topics about various difficult factors of colorectal ESD and the tips such as strategy, devices, injection, and traction method [Pocket-creation method (PCM) etc.].

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