| Theme | Current Endoscopic Treatment for Colorectal Tumors | |
|---|---|---|
| Title | Clinical Features of Endoscopic Submucosal Dissection for Large Superficial Colorectal Tumors Over 5 cm in Diameter | |
| Publish Date | 2014/02 | |
| Author | Masao Hanafusa | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases / Department of Gastroenterology, Akashi Medical Center |
| Author | Yoji Takeuchi | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Noriya Uedo | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Ryu Ishihara | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Hiroyasu Iishi | Department of Gastrointestinal Oncology, Osaka Medical Center for Cancer and Cardiovascular Diseases |
| Author | Takatoshi Nakashima | Department of Gastroenterology, Akashi Medical Center |
| [ Summary ] | Colorectal endoscopic submucosal dissection (ESD) has enabled us to perform en bloc resection of superficial gastrointestinal neoplasms and has become a common treatment in Japan. ESD is indicated for colorectal tumors over 2 cm in diameter such as laterally spreading tumors. However, tumors over 5 cm have not been indicated for ESD by the National Health Insurance system of Japan. As a result, we evaluated the clinical features presented by patients with tumors who underwent colorectal ESD at the Osaka Medical Center for Cancer and Cardiovascular Diseases from September 2005 to March 2012. It was noted longer treatment times for ESD are required and complications occurred at high rates. Therefore, colorectal ESD treatment for tumors over 5 cm in diameter should be carefully considered. | |