Journal
ANNALS OF TRANSLATIONAL MEDICINE
Volume 5, Issue 8, Pages -Publisher
AME PUBL CO
DOI: 10.21037/atm.2017.03.33
Keywords
Safety; tips; difficult factors; endoscopic submucosal dissection (ESD); colorectal polyp; colorectal cancer
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In Japan, endoscopic submucosal dissection (ESD) becomes one of standard therapies for large colorectal tumors. Recently, the efficacy of ESD has been reported all over the world. However, it is still difficult even for Japanese experts in some situations. Right-sided location, large tumor size, high degree of fibrosis, difficult manipulation is related with the difficulty. However, improvements on ESD devices, suitable strategies, and increase of operators' experiences enable us to solve these problems. In this chapter, we introduce recent topics about various difficult factors of colorectal ESD and the tips such as strategy, devices, injection, and traction method [Pocket-creation method (PCM) etc.].
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