Colorectal endoscopic submucosal dissection from a Western perspective: Today’s promises and future challenges
Over the last few years, endoscopic submucosal dissection (ESD) has shown to be effective in the management of early colorectal neoplasms, particularly in Asian countries where the technique was born. In the Western world, its implementation has been slow and laborious. In this paper, the indication...
| Authors: | , , , |
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| Format: | article |
| Publication Date: | 2016 |
| Country: | España |
| Institution: | Universidad Complutense de Madrid (UCM) |
| Repository: | Docta Complutense |
| Language: | English |
| OAI Identifier: | oai:docta.ucm.es:20.500.14352/130590 |
| Online Access: | https://hdl.handle.net/20.500.14352/130590 |
| Access Level: | Open access |
| Keyword: | Endoscopic submucosal dissection Endoscopic full-thickness resection Endoscopic mucosal resection Hybrid endoscopic submucosal dissection Early colorectal cancer Assisted endoscopic submucosal dissection Magnification chromoendoscopy Colorectal surgery Colorectal neoplasm Submucosal invasion Predictive factors Training Learning curve Ciencias Biomédicas 32 Ciencias Médicas |
| Summary: | Over the last few years, endoscopic submucosal dissection (ESD) has shown to be effective in the management of early colorectal neoplasms, particularly in Asian countries where the technique was born. In the Western world, its implementation has been slow and laborious. In this paper, the indications for ESD, its learning model, the available methods to predict the presence of deep submucosal invasion before the procedure and the published outcomes from Asia and Europe will be reviewed. Since ESD has several limitations in terms of learning achievement in the West, and completion of the procedure for the first cases is difficult in our part of the world, a short review on colorectal assisted ESD has been included. Finally, other endoscopic and surgical treatment modalities that are in competition with colorectal ESD will be summarized. |
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