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ESD for Colorectal Lesions

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Endoscopic Submucosal Dissection

Abstract

Almost all kinds of superficial neoplastic lesions with negligible risk for lymph node metastasis can be treated by ESD; however, true targets of this technique are large and difficult lesions which are almost impossible to remove by conventional EMR. By using ESD, curative resection can be reliably confirmed by histopathological examination of the specimen resected completely in an en bloc fashion.

Data published by Japanese experts suggest that colorectal ESD is very effective and safe when performed by experts. It has a great potential even for large and difficult lesions, however, colorectal ESD is much more difficult than gastric ESD in that it is necessary to have specific equipment and proper techniques. Since it is technically demanding, appropriate training is necessary for successful colorectal ESD. And one should think about the balance between the risk and benefit of the procedure before conducting it.

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Abbreviations

EMR:

Endoscopic mucosal resection

ESD:

Endoscopic submucosal dissection

LST-G:

Laterally spreading tumor with granular type

LST-NG:

Laterally spreading tumor with non-granular type

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Conflict of Interest

Naohisa Yahagi has some patents for ESD devices together with Olympus Medical Systems and Pentax Corp.

Author information

Authors and Affiliations

  1. Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan

    Naohisa Yahagi M.D., Ph.D.

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  1. Naohisa Yahagi M.D., Ph.D.
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Corresponding author

Correspondence to Naohisa Yahagi M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Division of Gastroenterology & Hepatology, University of Colorado, Denver, Aurora, Colorado, USA

    Norio Fukami

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Yahagi, N. (2015). ESD for Colorectal Lesions. In: Fukami, N. (eds) Endoscopic Submucosal Dissection. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2041-9_12

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  • DOI: https://doi.org/10.1007/978-1-4939-2041-9_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2040-2

  • Online ISBN: 978-1-4939-2041-9

  • eBook Packages: MedicineMedicine (R0)

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