Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization

Tanaka, Shinji; Oka, Shiro; Kaneko, Iwao; Hirata, Manabu; Mouri, Ritsuo; Kanao, Hiroyuki; Yoshida, Shigeto; Chayama, Kazuaki

doi:10.1016/j.gie.2007.02.032

Cited by 423 publications

(402 citation statements)

References 30 publications

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“…(1/40) Colorectum Fujishiro [31] 2007 ESD-Flex knife 91.5 1.8 (183/200) (2/111) Saito [40] 2007 ESD several knives 84 0.5 (168/200) (1/180) Tanaka [41] 2007 ESD several knives 80 0 (56/70) (0/62) Tamegai [42] 2007 ESD-Hook knife 98.6 11 (33/42) (4/36) Onozato [43] 2007 ESD-Flex knife 77 0 (27/35) (0/23)…”

Section: Stomachmentioning

confidence: 99%

“…The ESD technique is still not a treatment at ease, and further refinements of the technique is required to popularize ESD as a safe and reliable, less invasive treatment for patients with GI neoplasms. [33] 2002 EMRSH 70 4 0 Ishigooka [34] 2004 s-ERHSE 34 0 12 Oda [35] 2005 ESD-IT knife 1 033 6 4 Kakushima [32] 2006 ESD-Flex knife 383 3.4 3.9 Imagawa [36] 2006 ESD-Flex knife 159 0 6.1 Oyama [37] 2006 ESD-Hook knife 111 -1 Onozato [38] 2006 ESD-Flex knife 171 7.6 3.5 Hirasaki [39] 2007 ESD-IT knife 112 4 1 Esophagus Oyama [8] 2005 ESD-Hook knife 102 -0 Fujishiro [11] 2006 ESD-Flex knife 58 0 6.9 Colorectum Fujishiro [31] 2007 ESD-Flex knife 200 1 6 Saito [40] 2007 ESD-several knives 200 2 5 Tanaka [41] 2007 ESD-several knives 70 1.4 10 Tamegai [42] 2007 ESD-Hook knife 74 -1.4 Hurlstone [50] 2007 ESD-Flex knife 42 12 2.4 Onozato [43] 2007 ESD-Flex knife 35 0 2.9…”

Section: Future Perspectivesmentioning

confidence: 99%

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Endoscopic submucosal dissection for gastrointestinal neoplasms

Kakushima¹,

Fujishiro²

2008

WJG

159

131

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Endoscopic submucosal dissection (ESD) is an advanced technique of therapeutic endoscopy for superficial gastrointestinal neoplasms. Three steps characterize it: injecting fluid into the submucosa to elevate the lesion, cutting the surrounding mucosa of the lesion, and dissecting the submucosa beneath the lesion. The ESD technique has rapidly permeated in Japan for treatment of early gastric cancer, due to its excellent results of enbloc resection compared to endoscopic mucosal resection (EMR). Although there is still room for improvement to lessen its technical difficulty, ESD has recently been applied to esophageal and colorectal neoplasms. Favorable short-term results have been reported, but the application of ESD should be well considered by three aspects: (1) the possibility of nodal metastases of the lesion, (2) technical difficulty such as location, ulceration and operator's skill, and (3) organ characteristics.

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Section: Stomachmentioning

confidence: 99%

Section: Future Perspectivesmentioning

confidence: 99%

Endoscopic submucosal dissection for gastrointestinal neoplasms

Kakushima¹,

Fujishiro²

2008

WJG

159

131

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“…Perforation and bleeding are the most common complications for EMR and ESD which are more frequent than with standard polypectomy [15]. The size of lesion, location, histology, the type of device used, and operator experience are the factors that affects complication rates [15,[107][108][109].…”

Section: Advanced Techniques For Colonoscopic Tissue Removalmentioning

confidence: 99%

“…Perforation may occur in 0-5% and 5-10% in EMR and ESD respectively which is usually recognized during the procedure and managed endoscopically, although delayed perforation has been reported in 0.4% [15,[107][108][109][110][111].…”

Section: Advanced Techniques For Colonoscopic Tissue Removalmentioning

confidence: 99%

Complications of Colonoscopy

Waye

Aisenberg

Rubin

2013

Practical Colonoscopy

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“…[7][8][9] ESD is an effective procedure for en-bloc resection and curative resection of large colorectal tumors that are difficult to resect by EMR. [10][11][12][13] However, it requires high-level technical skills and experience in therapeutic endoscopy. It also has a relatively higher rate of perforation and longer procedural time than EMR.…”

Section: Introductionmentioning

confidence: 99%

Chronological Outcomes and Learning Curve of Endoscopic Submucosal Dissection for Colorectal Tumors

Lee

Kim

Park

et al. 2014

Korean J Gastroenterol

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Background/Aims: Endoscopic submucosal dissection (ESD) is an effective procedure for en-bloc curative resection of the colorectal tumor. As it requires high technical skills and experience in therapeutic endoscopy, it is important to understand learning curve of ESD technique. The aim of this study was to retrospectively describe the clinical results of ESD and to evaluate learning curve for the ESD of colorectal tumors. Methods: A total of 90 patients with 90 colorectal neoplasms, who had undergone ESD at a tertiary referral hospital from July 2009 to December 2012, were enrolled. The ESD was performed by a single endoscopist. All ESD cases were divided into three periods: first, cases 1-30; second, cases 31-60; and third, cases 61-90. Results: The en-bloc resection rates in third period (100%) was significantly higher than that of the first (93.3%) and second period (80%) (p=0.025). The perforation rate in third period (0%) also significantly decreased compared with that of the first (13.3%) and second period (20%) (p=0.032). To calibrate the difference of tumor size among periods, proficiency was calculated, as the procedure time per specimen area (min/cm 2 ). The proficiency in third period (4.3) was significantly shorter than that of the first (16.8) and second period (10.2) (p=0.004). Conclusions: The learning curve of colorectal ESD in our study shows that at least 60 cases of ESD have to be conducted to acquire sufficient skill of degree without perforation. (Korean J Gastroenterol 2014;64:198-205)

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Endoscopic submucosal dissection for colorectal neoplasia: possibility of standardization

Cited by 423 publications

References 30 publications

Endoscopic submucosal dissection for gastrointestinal neoplasms

Endoscopic submucosal dissection for gastrointestinal neoplasms

Complications of Colonoscopy

Chronological Outcomes and Learning Curve of Endoscopic Submucosal Dissection for Colorectal Tumors

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