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Erschienen in: Surgical Endoscopy 9/2020

27.04.2020 | Review Article

Review on colorectal endoscopic submucosal dissection focusing on the technical aspect

verfasst von: Tak Lit Derek Fung, Chi Woo Samuel Chow, Pak Tat Chan, Kam Hung Kwok

Erschienen in: Surgical Endoscopy | Ausgabe 9/2020

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Abstract

Background

Endoscopic submucosal dissection (ESD) enables removal of broad-based colorectal polyps or lateral spreading tumors with a higher rate of en bloc resection and a lower risk of local recurrence. However, it is technically demanding. Over the past 20 years, various equipment and innovative techniques have been developed to reduce the difficulty of ESD. The information in the literature is scattered. Our aim is to provide a comprehensive review on the setup and technical aspects of colorectal ESD.

Methods

We searched the PubMed database and systemically reviewed all original and review articles related to colorectal ESD. Further manual search according to reference lists of identified articles were done. The selected articles were categorized and reviewed. Original figures were created to help readers understand some of the ESD techniques.

Results

A total of 216 articles were identified, in which 25 of them were review articles and 191 of them were original articles. They were categorized and reviewed. An in-depth appraisal of the setting, equipment, and technical aspects of colorectal ESD was performed.

Conclusions

Although ESD is a technically demanding procedure that requires expert endoscopic skills, it can be mastered. With good peri-procedural preparation, sufficient knowledge of the equipment, and thorough understanding of the useful endoscopic tricks and maneuvers, colorectal ESD can be performed smoothly and safely.
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Metadaten
Titel
Review on colorectal endoscopic submucosal dissection focusing on the technical aspect
verfasst von
Tak Lit Derek Fung
Chi Woo Samuel Chow
Pak Tat Chan
Kam Hung Kwok
Publikationsdatum
27.04.2020
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 9/2020
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07599-0

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