| Theme |
Selection of the therapeutic methods (EMR or ESD) for colorectal tumor |
| Title |
Development and proper use of devices for colorectal ESD |
| Author |
Keijiro Sunada |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| Author |
Tomohiko Miyata |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| Author |
Tomonori Yano |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| Author |
Naoyuki Nishimura |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| Author |
Yoshimasa Miura |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| Author |
Hakuei Shinhata |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| Author |
Hiroyuki Sato |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| Author |
Hironori Yamamoto |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
| [ Summary ] |
Needle Knife, Hook Knife and Flex Knife have been the primary devices used for colorectal ESD. However, various other devices have been developed recently. One new feature, the "ball-tip", has improved the efficiency of ESD. This tool can stay under the submucosa without slipping out, leading to stable circumferential incisions. It also makes it possible to easily capture fibers during submucosal dissection. The "scissors-style" device (SB knife) has been developed as well. When selecting these devices, it is important to develop adequate proficiency when using any one for primary treatment. We must then try to become accustomed to other treatment modalities which can complement our primary treatments. |