Endoscopic Resection of Early Colorectal Cancer

  • Masayoshi Yamada
  • Yutaka SaitoEmail author
  • Stefano Sansone
  • Hiroyuki Takamaru
  • Taku Sakamoto


Endoscopic diagnosis and treatments have made considerable progress in recent years. Endoscopic diagnosis aims to predict oncological characteristics of a lesion based on endoscopic features and also differentiate between malignant and benign tumors. Detailed inspection of lesions is required in order to pursue an accurate endoscopic diagnosis. This can be achieved with image enhanced endoscopy.

Multiple strategies are available to achieve endoscopic resection of colorectal lesions, including polypectomy, endoscopic mucosal resection, endoscopic mucosal dissection, and full-thickness resection.

Each technique requires different skill-sets and has different frequency of complications. Selection of the appropriate endoscopic treatment is based on oncological indication and technical aspects of each strategy. All endoscopic procedures require expertise which is achieved through adequate training and the availability of appropriate equipment.


Endoscopic resection Endoscopic submucosal dissection Colorectal cancer 



Funding: This paper partially funded by The National Cancer Center Research and Development Fund (25-A-12, 28-K-1 and 29-A-13) and the JSPS KAKENHI Grant Number 18K07925.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Masayoshi Yamada
    • 1
  • Yutaka Saito
    • 1
    Email author
  • Stefano Sansone
    • 2
  • Hiroyuki Takamaru
    • 1
  • Taku Sakamoto
    • 1
  1. 1.Endoscopy DivisionNational Cancer Center HospitalTokyoJapan
  2. 2.NIHR Nottingham Digestive Diseases Biomedical Research UnitNottingham University Hospitals NHS Trust and University of NottinghamNottinghamUK

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