Abstract
Endoscopic submucosal dissection is a reliable method for en bloc resection of early stage gastrointestinal tumors. High mucosal elevation by submucosal injection is important for ease of en bloc resection and prevention of perforation. At the same time, a submucosal injection solution should be chosen considering possible tissue damage as well as lesion-lifting ability, in order to perform successful ESD. Although sodium hyaluronate is currently used in Japan for submucosal injection to create a fluid cushion, its high cost is an obstacle to more widespread use. It is important to use the proper injection solution, and each should be considered while taking into account both advantages and disadvantages depending on the situation.
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Niimi, K., Fujishiro, M., Koike, K. (2015). Injection Material for ESD: Eastern Perspective. In: Fukami, N. (eds) Endoscopic Submucosal Dissection. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2041-9_7
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DOI: https://doi.org/10.1007/978-1-4939-2041-9_7
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