2017
DOI: 10.2147/ceg.s120395
|View full text |Cite
|
Sign up to set email alerts
|

Colorectal endoscopic submucosal dissection: patient selection and special considerations

Abstract: Endoscopic submucosal dissection (ESD) enables en bloc resection of large complex colorectal superficial neoplastic lesions, resulting in very low rates of local recurrence, high-quality pathologic specimens for accurate histopathologic diagnosis and potentially curative treatment of early adenocarcinoma without resorting to major surgical resection. The safety and efficacy of the technique, which was pioneered in the upper gastrointestinal tract, has been established by the consistently impressive outcomes fr… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
9
0
1

Year Published

2019
2019
2022
2022

Publication Types

Select...
8

Relationship

3
5

Authors

Journals

citations
Cited by 14 publications
(10 citation statements)
references
References 121 publications
(180 reference statements)
0
9
0
1
Order By: Relevance
“…Although endoscopic submucosal dissection (ESD) is now easier to perform, it is still technically more difficult in lower gastrointestinal polyps compared to upper gastrointestinal polyps [20] . Furthermore, it is often difficult to distinguish between benign adenoma and carcinoma using colonoscopy alone [21].…”
Section: Discussionmentioning
confidence: 99%
“…Although endoscopic submucosal dissection (ESD) is now easier to perform, it is still technically more difficult in lower gastrointestinal polyps compared to upper gastrointestinal polyps [20] . Furthermore, it is often difficult to distinguish between benign adenoma and carcinoma using colonoscopy alone [21].…”
Section: Discussionmentioning
confidence: 99%
“…A structured questionnaire was not used, but a discussion based on the SMSA classification (point by point by each) was undertaken and time taken to achieve agreement recorded. It is important to note that planning for ER is not solely based on these criteria, so factors that are known to adversely affect subsequent ER outside of SMSA (eg, nodular components, depressed or pseudodepressed areas, fibrosis caused by partial resection attempts, extensive biopsy sampling or history of colitis11) were also recorded if encountered.…”
Section: Methodsmentioning
confidence: 99%
“…ESD enables en bloc resection of early CRC without LN metastasis, resulting in very low rates of local recurrence, high-quality pathologic specimens for accurate histopathologic diagnosis, and potentially curative treatment of early adenocarcinoma without resorting to major surgical resection ( 12 ). In the ESD procedures carried out in this study, a mixture of 4% hyaluronic acid and normal saline with a small amount of indigo carmine and epinephrine (0.001 mg/mL) was injected into the submucosal layer.…”
Section: Methodsmentioning
confidence: 99%