Clinical Gastroenterology Vol.30 No.1(4-2)

Theme Clinical Gastroenterology -- Past 30 Years and Future Vision
Title History and Future of Colorectal Cancer
Publish Date 2015/01
Author Shin‒ei Kudo Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Kenichi Takeda Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Hideyuki Miyachi Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Fumio Ishida Digestive Disease Center, Showa University Northern Yokohama Hospital
Author Haruhiro Inoue Digestive Disease Center, Showa University Koto Toyosu Hospital
[ Summary ] The number of patients with colorectal cancer has increased in recent years. Because early detection and rapid cure are important for management of colorectal cancer, endoscopic examination is necessary for screening. Endoscopic therapy is a minimally invasive procedure. Endoscopic mucosal resection has become a universally used technique. Techniques for endoscopic submucosal dissection are also being disseminated. Magnified chromoendoscopy and narrow band imaging systems have been recognized as useful methods for diagnosing colorectal lesions. The endocytoscope is a new tool for advanced colonoscopy. Endocytoscopic systems allow observation of living gastrointestinal cells and nuclei, in vivo under ultra‒high magnification, enabling real‒time endoscopic assessment of histological characteristics. The resulting diagnostic ability and therapeutic techniques have made possible the progress associated with advanced technology.
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