Endoscopic submucosal dissection in the colorectum: Feasibility in the Canadian setting

Endoscopic submucosal dissection is a minimally invasive endoscopic technique for the removal of gastrointestinal tumours that is increasingly being used for colonic neoplasms to spare resection of colon in selected patients. Colonic endoscopic submucosal dissection is technically challenging and wa...

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Bibliographic Details
Published in:Canadian journal of gastroenterology 2013-12, Vol.27 (12), p.689-693
Main Authors: Iacucci, Marietta, Eustace, Gregory, Uraoka, Toshio, Saito, Yutaka, Fort Gasia, Miriam, Love, Jon, Yahagi, Naohisa
Format: Article
Language:English
Subjects:
Canada
Carcinoma - surgery
Colonoscopy
Colonoscopy - education
Colonoscopy - instrumentation
Colorectal Neoplasms - surgery
Colorectal surgery
Dissection
Dissection - adverse effects
Dissection - education
Dissection - instrumentation
Feasibility Studies
Gastroenterology
Humans
Intestinal Mucosa - surgery
Review
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Summary:Endoscopic submucosal dissection is a minimally invasive endoscopic technique for the removal of gastrointestinal tumours that is increasingly being used for colonic neoplasms to spare resection of colon in selected patients. Colonic endoscopic submucosal dissection is technically challenging and was initially pioneered in Japan but increasingly used in selected western centres. Its use in Canada is currently limited, and the authors review the challenges and opportunities, in addition to the unique training infrastructure required to practice the procedure under supervision. Specific tools are required to perform endoscopic submucosal dissection and meticulous attention to detail is essential. The authors provide a combined Japanese and Canadian perspective to this technique, and discuss training and performance of endoscopic submucosal dissection as well as potential indications.
ISSN:0835-7900
2291-2789
1916-7237
2291-2797
DOI:10.1155/2013/536190