Endoscopic Mucosal Dissection

  • Cigdem Benlice
  • Emre GorgunEmail author


Endoscopic submucosal dissection (ESD) is an innovative, advanced endoscopic approach to superficial gastrointestinal neoplasms which is becoming a “standard” treatment option and has the potential to revolutionize treatment of early alimentary cancers. Colorectal neoplasia represents an important potential niche for the clinical application of ESD in the United States given the prevalence of these tumors. ESD is a reliable but technically challenging method for en bloc resection of gastrointestinal lesions and requires dedicated equipment, a unique skill set, and experience.


Endoscopic submucosal dissection (ESD) Submucosal injection solutions Snare types Endoknife Dual knife Hook knife 



Computerized tomography


Endoscopic mucosal resection


Endoscopic submucosal dissection


Laparoscopic colorectal surgery


Submucosal invasion status

Supplementary material

Video 16.1

Combined endoscopic–laparoscopic surgery (CELS) (MP4 82012 kb)


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryCleveland Clinic FoundationClevelandUSA
  2. 2.Department of Colorectal SurgeryDigestive Disease Institute, Cleveland Clinic FoundationClevelandUSA

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