Endoscopic submucosal dissection for removal of superficial gastrointestinal neoplasms: A technical review
Open Access
- 1 January 2012
- journal article
- Published by Baishideng Publishing Group Inc. in World Journal of Gastrointestinal Endoscopy
- Vol. 4 (4), 123-136
- https://doi.org/10.4253/wjge.v4.i4.123
Abstract
Endoscopic submucosal dissection (ESD) is now the most common endoscopic treatment in Japan for intramucosal gastrointestinal neoplasms (non-metastatic). ESD is an invasive endoscopic surgical procedure, requiring extensive knowledge, skill, and specialized equipment. ESD starts with evaluation of the lesion, as accurate assessment of the depth and margin of the lesion is essential. The devices and strategies used in ESD vary, depending on the nature of the lesion. Prior to the procedure, the operator must be knowledgeable about the treatment strategy(ies), the device(s) to use, the electrocautery machine settings, the substances to inject, and other aspects. In addition, the operator must be able to manage complications, should they arise, including immediate recognition of the complication(s) and its treatment. Finally, in case the ESD treatment is not successful, the operator should be prepared to apply alternative treatments. Thus, adequate knowledge and training are essential to successfully perform ESD.Keywords
This publication has 102 references indexed in Scilit:
- Management of esophageal stricture after complete circular endoscopic submucosal dissection for superficial esophageal squamous cell carcinomaBMC Gastroenterology, 2011
- ENDOSCOPIC SUBMUCOSAL DISSECTION FOR COLORECTAL NEOPLASIADigestive Endoscopy, 2010
- A new breakthrough: ESD using a newly developed grasping type scissor forceps for early gastrointestinal tract neoplasmsWorld Journal of Gastrointestinal Endoscopy, 2010
- Predictors of postoperative stricture after esophageal endoscopic submucosal dissection for superficial squamous cell neoplasmsEndoscopy, 2009
- Effects of preoperative administration of omeprazole on bleeding after endoscopic submucosal dissection: a prospective randomized controlled trialEndoscopy, 2009
- Phlegmonous gastritis after endoscopic submucosal dissection for early gastric cancerTherapeutic Advances in Gastroenterology, 2008
- Iatrogenic perforation associated with therapeutic colonoscopy: A multicenter study in JapanJournal of Gastroenterology and Hepatology, 2007
- Treatment of oesophageal ulcerations using endoscopic transplantation of tissue-engineered autologous oral mucosal epithelial cell sheets in a canine modelGut, 2006
- Carbon Dioxide Insufflation in Colonoscopy: Safe and Effective in Sedated PatientsEndoscopy, 2005
- The treatment of patients with esophageal strictures by local steroid injectionsJournal of Pediatric Surgery, 1969