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Endoscopic Submucosal Dissection

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Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

Abstract

Endoscopic submucosal dissection is a novel technique that aims en bloc removal of superficial gastrointestinal lesions. It consists of basic steps of injection and lifting the mucosa from the submucosa, incision and dissection of the lesion, and snare removal. It allows for a complete sample to be removed with negative margins that is suitable for accurate histopathological diagnosis. This newer advanced endoscopic technique will be explained in detail along with key points in this chapter.

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Abbreviations

EMR:

Endoscopic mucosal resection

ESD:

Endoscopic submucosal dissection

HES:

Hydroxyethyl starch

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Ipek Sapci & Emre Gorgun

Authors
  1. Ipek Sapci
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  2. Emre Gorgun
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Corresponding author

Correspondence to Emre Gorgun .

Editor information

Editors and Affiliations

  1. University of Nevada, Las Vegas, Las Vegas, NV, USA

    Ovunc Bardakcioglu

Electronic Supplementary Material

Video demonstrating steps of endoscopic submucosal dissection on a complex ileocecal valve lesion (MP4 66499 kb)

Video demonstrating balloon-assisted resection technique being used during endoscopic submucosal dissection to stabilize the surgical field and achieve retraction (MP4 175051 kb)

Video demonstrating closure of the defect with clip application after endoscopic submucosal dissection (MP4 128395 kb)

Video demonstrating over-the-scope clip application to close a defect after endoscopic submucosal dissection (MP4 129996 kb)

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Sapci, I., Gorgun, E. (2019). Endoscopic Submucosal Dissection. In: Bardakcioglu, O. (eds) Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-15273-4_2

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  • DOI: https://doi.org/10.1007/978-3-030-15273-4_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15272-7

  • Online ISBN: 978-3-030-15273-4

  • eBook Packages: MedicineMedicine (R0)

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