| Theme | Therapeutic Strategy for Early Gastrointestinal Cancers with EMR or ESD | |
|---|---|---|
| Title | ESD for Early Colorectal Tumors -- Technique and Clinical Outcome | |
| Publish Date | 2008/01 | |
| Author | Shusei Fukunaga | Division of Endoscopy, National Cancer Center Hospital |
| Author | Yutaka Saito | Division of Endoscopy, National Cancer Center Hospital |
| Author | Tuyoshi Kikuchi | Division of Endoscopy, National Cancer Center Hospital |
| Author | Takeshi Nakajima | Division of Endoscopy, National Cancer Center Hospital |
| Author | Takahisa Matsuda | Division of Endoscopy, National Cancer Center Hospital |
| [ Summary ] | Endoscopic submucosal dissection (ESD) which is a widely accepted treatment for early gastric cancer has been introduced for treatment of early colorectal tumors. Indications for ESD, such as a II a (LST-NG) > 20 mm tumor and a tumor showing non-lifting signs, as well as relative indications such as I s + II a (LST-NG) > 40 mm tumors are defined. In order to reduce complications of ESD, attention is paid to many aspects of technique and devices. Colonic-wall perforations, including rectal penetrations, were found in 12 of 293 patients (4 %). Delayed bleeding after ESD was observed in 4 of 293 patients (1 %). It is necessary to establish effective procedures through sufficient knowledge of colorectal ESD. | |