Colorectal endoscopic submucosal dissection (ESD)

Endoscopic submucosal dissection (ESD) is an interventional procedure for en-bloc resection of gastrointestinal lesions. ESD is a challenging and can involve a reasonable degree of risk, therefore case selection is of crucial importance, especially in the colo-rectum. This procedure should be mainly...

Full description

Saved in:
Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2017-08, Vol.31 (4), p.473-480
Main Authors: Fuccio, Lorenzo, Ponchon, Thierry
Format: Article
Language:English
Subjects:
Adenomatous Polyposis Coli - pathology
Adenomatous Polyposis Coli - surgery
Classification
Colon cancer
Colonoscopy
Colorectal cancer
Dissection
Dissection - methods
Endoscopic Mucosal Resection
Endoscopic submucosal dissection
Endoscopy
ESD
Humans
Rectal cancer
Relapse
Surgery
Training
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Endoscopic submucosal dissection (ESD) is an interventional procedure for en-bloc resection of gastrointestinal lesions. ESD is a challenging and can involve a reasonable degree of risk, therefore case selection is of crucial importance, especially in the colo-rectum. This procedure should be mainly used for dissection of lesions when there is a high suspicion of superficial malignant invasion; several classifications have been proposed in order to better identify lesions suitable for ESD. However, case selection is still an issue, since only about 8–10% of dissected lesions are superficially invading cancer and most of cases involve benign or massively invading cancer. In addition, significant differences have been reported between Asian and Western countries in regard to main outcomes, and therefore measures should be adopted as soon as possible to reduce this discrepancy.
ISSN:1521-6918
1532-1916
DOI:10.1016/j.bpg.2017.07.003