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Future of Endoscopy: Brief review of current and future endoscopic resection techniques for colorectal lesions
Author(s) -
Hossain Ejaz,
Alkandari Asma,
Bhandari Pradeep
Publication year - 2020
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.13475
Subject(s) - medicine , endoscopic submucosal dissection , endoscopic mucosal resection , resection , endoscopy , endoscopic treatment , surgery , dissection (medical) , general surgery , complication , radiology
Endoscopic treatment of colorectal lesions has seen major developments in the last decade. It is now considered curative for intramucosal and superficial submucosal cancers. Endoscopic Mucosal Resection in expert hands has very good outcomes with low complication rates but recurrence and inadequate treatment of early cancers remain an issue. This has led to a technical evolution that can lead to one piece resection of neoplasia. This includes a range of techniques from knife assisted snare resection ( KAR ), endoscopic submucosal dissection ( ESD ) to full thickness resections. This article reviews all the resection techniques and the evidence base behind them.