Indications and Techniques for Endoscopic Submucosal Dissection
- 1 June 2015
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in The American Journal of Gastroenterology
- Vol. 110 (6), 784-791
- https://doi.org/10.1038/ajg.2014.425
Abstract
Endoscopic submucosal dissection (ESD) allows for curative resection of superficial neoplasms of the gastrointestinal tract. Although ESD is the standard of care in Japan, its adoption in the West has been slow. Recent studies have shown the advantages of ESD over endoscopic mucosal resection, and as many of the barriers to ESD have been overcome, we are seeing an increasing interest in this technique. ESD can be used to treat superficial gastric, esophageal, and colorectal lesions. The most important pre-procedure step is estimating the depth of invasion of a lesion and by proxy the risk of lymph node metastasis. After a lesion has been resected, the histopathological analysis will determine whether the resection was curative or whether further surgery is needed. In conclusion, ESD is being more widely used in the West, and it is important to understand the indications, limitations, and techniques of ESD.Keywords
This publication has 52 references indexed in Scilit:
- Indications for and Technical Aspects of Colorectal Endoscopic Submucosal DissectionGut and Liver, 2013
- Current status of endoscopic resection strategy for large, early colorectal neoplasia in JapanSurgical Endoscopy, 2013
- The Risk of Lymph-Node Metastases in Patients With High-Grade Dysplasia or Intramucosal Carcinoma in Barrett's Esophagus: A Systematic ReviewThe American Journal of Gastroenterology, 2012
- Endoscopic submucosal dissection for superficial esophageal neoplasmsWorld Journal of Gastrointestinal Endoscopy, 2012
- Usefulness of oral prednisolone in the treatment of esophageal stricture after endoscopic submucosal dissection for superficial esophageal squamous cell carcinomaGastrointestinal Endoscopy, 2011
- Depth-predicting score for differentiated early gastric cancerGastric Cancer, 2011
- Efficacy of capillary pattern type IIIA/IIIB by magnifying narrow band imaging for estimating depth of invasion of early colorectal neoplasmsBMC Gastroenterology, 2010
- Guidelines for Diagnosis and Treatment of Carcinoma of the Esophagus April 2007 edition: part I Edited by the Japan Esophageal SocietyEsophagus, 2008
- Endoscopic indications for endoscopic mucosal resection of laterally spreading tumours in the colorectumGut, 2006
- Magnifying Endoscopy, Stereoscopic Microscopy, and the Microvascular Architecture of Superficial Esophageal CarcinomaEndoscopy, 2002