Endoscopic submucosal dissection (ESD) versus simplified/hybrid ESD

Takashi Toyonaga; Mariko Man-I; Yoshinori Morita; Takeshi Azuma

doi:10.1016/j.giec.2013.11.004

Endoscopic submucosal dissection (ESD) versus simplified/hybrid ESD

Gastrointest Endosc Clin N Am. 2014 Apr;24(2):191-9. doi: 10.1016/j.giec.2013.11.004. Epub 2014 Jan 25.

Authors

Takashi Toyonaga¹, Mariko Man-I², Yoshinori Morita², Takeshi Azuma²

Affiliations

¹ Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo 650-0019, Japan; Frontier Medical Science in Gastroenterology, Kobe University School of Medicine, Kobe, Hyogo 650-0019, Japan. Electronic address: toyonaga@med.kobe-u.ac.jp.
² Frontier Medical Science in Gastroenterology, Kobe University School of Medicine, Kobe, Hyogo 650-0019, Japan.

PMID: 24679231
DOI: 10.1016/j.giec.2013.11.004

Abstract

The development of endoscopic submucosal dissection (ESD) has enabled en bloc resection of lesions regardless of size and shape. However, ESD of colorectal tumors is technically difficult. Early stage colorectal tumors can be removed by endoscopic mucosal resection (EMR) but larger tumors may require piecemeal resection. Therefore, ESD with snaring has been proposed for more reliable EMR and easier ESD. This is a good option to fill the gap between EMR and ESD, and a good step to the introduction of full ESD.

Keywords: Colon; ESD; Hybrid ESD; Rectum; Simplified ESD.

Publication types

Review

MeSH terms

Colonoscopy / methods*
Colorectal Neoplasms / surgery*
Dissection / methods
Humans
Intestinal Mucosa / surgery*