Open AccessWhat are the latest developments in colorectal endoscopic submucosal dissection?
Author(s) -
Toshio Uraoka,
Yutaka Saito,
Naohisa Yahagi
Publication year - 2012
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v4.i7.296
Subject(s) - endoscopic submucosal dissection , medicine , perforation , general surgery , dissection (medical) , surgery , materials science , punching , metallurgy
Endoscopic submucosal dissection (ESD) enables direct submucosal dissection so that even large early-stage gastrointestinal tumors can be resected en bloc. ESD has recently been applied to the colorectum since it was originally developed for use in the stomach. However, colorectal ESD is technically more difficult with an increased risk of perforation compared with gastric ESD. In addition, this procedure is seldom performed in Western countries. Consequently, further technical advances and the availability of a suitable clinical training system are required for the extensive use of colorectal ESD. In this topic highlight, we review the most recent developments in colorectal ESD.