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Colonic ESD

  • Vikneswaran Namasivayam
  • Yutaka SaitoEmail author
Chapter

Abstract

Endoscopic submucosal dissection (ESD) has emerged as an effective treatment for superficial colorectal neoplasia. As ESD entails a significant risk, careful case selection is crucial. Preoperative morphological assessment may aid in identification of deep submucosal invasion where ESD is non-curative and should be avoided in favour of surgery. ESD in the colorectum poses its own challenges that require the use of appropriate endoscopic instruments, resection techniques and careful management of complications to optimise outcomes.

Keywords

Endoscopic submucosal dissection Colorectal cancer Hybrid ESD Pocket-creation method 

Supplementary material

Video 9.1

The conventional ESD method using a bipolar needle knife (B-knife) and IT knife nano (MP4 1007559 kb)

Video 9.2

The PCM based on the creation of a submucosal pocket beneath the lesion using a bipolar needle knife (B-knife) and IT knife nano (MP4 1956 kb)

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Gastroenterology and HepatologySingapore General HospitalSingaporeSingapore
  2. 2.Duke NUS Medical SchoolSingaporeSingapore
  3. 3.Yong Loo Lin School of Medicine, National University of SingaporeSingaporeSingapore
  4. 4.National Cancer Center Hospital, Endoscopy Division, Endoscopy CenterTokyoJapan

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