Abstract
Advanced colonoscopy is not routine and requires highly technical skills as well as advanced technology. When an endoscopist is equipped with the correct tools for the job, the chance of success improves. In this chapter, we discuss an advanced endoscopic technique using advanced technology: endoscopic submucosal dissection (ESD) and the tools used to perform this technique. ESD is a reliable but technically challenging method for en bloc resection of large gastrointestinal lesions and even selectively for early-stage tumors. However, colorectal ESD has higher risks of complications and takes longer than endoscopic mucosal resection (EMR). In order to perform safe and effective ESD, accurate preoperative assessment of the target lesion is essential. However it is also imperative to have specialized training even for highly skilled endoscopist to prevent undesirable complications.
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Gorgun, E. (2016). Endoscopic Submucosal Dissection: Colon and Rectum. In: Kroh, M., Reavis, K. (eds) The SAGES Manual Operating Through the Endoscope. Springer, Cham. https://doi.org/10.1007/978-3-319-24145-6_16
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DOI: https://doi.org/10.1007/978-3-319-24145-6_16
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