Tips for safety in endoscopic submucosal dissection for colorectal tumors

• Published in: Annals of Translational Medicine
• Main Author: Yoshida N.; Naito Y.; Murakami T.; Hirose R.; Ogiso K.; Inada Y.; Rani R.A.; Kishimoto M.; Nakanishi M.; Itoh Y.
• Format: Review
• Language: English
• Published: AME Publishing Company 2017
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018969292&doi=10.21037%2fatm.2017.03.33&partnerID=40&md5=fa612384f6f46a97490b1f734506d56c

In Japan, endoscopic submucosal dissection (ESD) becomes one of standard therapies for large colorectal tumors. Recently, the efficacy of ESD has been reported all over the world. However, it is still difficult even for Japanese experts in some situations. Right-sided location, large tumor size, high degree of fibrosis, difficult manipulation is related with the difficulty. However, improvements on ESD devices, suitable strategies, and increase of operators' experiences enable us to solve these problems. In this chapter, we introduce recent topics about various difficult factors of colorectal ESD and the tips such as strategy, devices, injection, and traction method [Pocket-creation method (PCM) etc.]. © Annals of Translational Medicine. All rights reserved.