| Theme |
Future Perspectives of Therapeutic Endoscopy Such as ESD and NOTES |
| Title |
Present and Future Status of Colorectal ESD Treatment |
| Author |
Ken Ohata |
Department of Gastroenterology, NTT Medical Center Tokyo |
| Author |
Masau Sekiguchi |
Department of Gastroenterology, NTT Medical Center Tokyo |
| Author |
Takafumi Ito |
Department of Gastroenterology, NTT Medical Center Tokyo |
| Author |
Hideyuki Chiba |
Department of Gastroenterology, NTT Medical Center Tokyo |
| Author |
Yosuke Tsuji |
Department of Gastroenterology, NTT Medical Center Tokyo |
| Author |
Nobuyuki Matsuhashi |
Department of Gastroenterology, NTT Medical Center Tokyo |
| [ Summary ] |
Colorectal ESD techniques have become popular treatment options in Japan. We must understand the clinicopathological characteristics of colorectal tumors in terms of selected treatments. LST-NG-PD and LST-G-M are the primary target lesions. The main issues are how to best resect fibrotic lesions and how to maintain proper scope position. Dual knife, upper GI scope, and overtube assisted techniques are effective. Delayed perforation is a severe complication, requiring surgical support. In the future, integrations of endoscopic treatment and surgery will move us from mere visions toward the concrete reality of new treatment modalities. |