| Theme | Current Endoscopic Treatment for Colorectal Tumors | |
|---|---|---|
| Title | Appropriate Choice and Use of Blades in Colorectal Endoscopic Submucosal Dissection | |
| Publish Date | 2014/02 | |
| Author | Kenichiro Imai | Endoscopy Division, Shizuoka Cancer Center |
| Author | Yuichiro Yamaguchi | Endoscopy Division, Shizuoka Cancer Center |
| Author | Kinichi Hotta | Endoscopy Division, Shizuoka Cancer Center |
| Author | Naomi Kakushima | Endoscopy Division, Shizuoka Cancer Center |
| Author | Kohei Takizawa | Endoscopy Division, Shizuoka Cancer Center |
| Author | Masaki Tanaka | Endoscopy Division, Shizuoka Cancer Center |
| Author | Hiroyuki Matsubayashi | Endoscopy Division, Shizuoka Cancer Center |
| Author | Hiroyuki Ono | Endoscopy Division, Shizuoka Cancer Center |
| [ Summary ] | Colorectal endoscopic submucosal dissection (ESD) has been approved by the national health insurance system since April 2012, and its use is becoming widespread. However, the procedure is sometimes difficult because of the risk of perforation due to its anatomic features such as narrow lumen, thin colorectal walls, and the presence of semilunar folds. Concerning the application of colorectal ESD, institutional limitations have been removed. However, some technical difficulties have not been resolved. To overcome technical limitations, many ESD blades are now available. It is important for endoscopists who perform colorectal ESD to understand features of such particular ESD blades, and to select adequate blades in relation to endoscopistʼs skill levels and intraoperative situations. | |