Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection

Endoscopic submucosal dissection (ESD) is reported to be an efficient treatment with a high rate of en bloc resection for large colorectal tumors in Japan and some other Western and Asian countries. ESD is considered less invasive than laparoscopic colectomy. However, ESD carries a higher risk of pe...

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Bibliographic Details
Published in:Gastroenterology research and practice 2013-01, Vol.2013 (2013), p.1-9
Main Authors: Yoshida, Naohisa, Yagi, Nobuaki, Inada, Yutaka, Kugai, Munehiro, Yanagisawa, Akio, Naito, Yuji
Format: Article
Language:English
Subjects:
Cancer
Care and treatment
Colleges & universities
Colon
Colorectal cancer
Complications
Complications and side effects
Dissection
Endoscopic surgery
Endoscopy
Gastroenterology
Health aspects
Hemorrhage
Hepatology
Prevention
Review
Surgery
Tumors
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Description
Summary:Endoscopic submucosal dissection (ESD) is reported to be an efficient treatment with a high rate of en bloc resection for large colorectal tumors in Japan and some other Western and Asian countries. ESD is considered less invasive than laparoscopic colectomy. However, ESD carries a higher risk of perforation than endoscopic mucosal resection (EMR). Various devices and training methods for colorectal ESD have been developed to solve the difficulties. In this review, we describe the complications of colorectal ESD and prevention of those complications. On the other hand, colorectal ESD is difficult for less-experienced endoscopists. The unique step-by-step ESD training system is performed in Japan. Additionally, appropriate training, including animal model training, for colorectal ESD should be acquired before working on clinical cases.
ISSN:1687-6121
1687-630X
DOI:10.1155/2013/287173