| Theme |
Aims to improve colorectal ESD safety and efficiency |
| Title |
Strategy for endoscopic submucosal dissection of colorectal lesions with fibrosis |
| Author |
Joichiro Horii |
Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author |
Toshio Uraoka |
Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author |
Hiroyuki Ishii |
Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author |
Osamu Goto |
Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author |
Keita Harada |
Department of Endoscopy, Okayama University Hos pital |
| Author |
Hiroyuki Okada |
Department of Endoscopy, Okayama University Hos pital |
| Author |
Naohisa Yahagi |
Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| [ Summary ] |
Endoscopic submucosal dissection (ESD) is the preferred procedure for en bloc endoscopic resection, even for lesions with severe submucosal fibrosis. However, this procedure requires a high level of skill and experience for operators due to technical difficulties and a high risk of perforation. Difficulties with lesions must be considered before starting procedures to provide safe, successful ESD. This kind of difficult colorectal ESD procedure should be conducted only by experts. |