Endoscopic submucosal dissection with or without snaring for colorectal neoplasms

Byeon, Jeong‐Sik; Kim, Kyung‐Jo; Ye, Byong Duk; Myung, Seung‐Jae; Yang, Suk-Kyun; Kim, Jin-Ho

doi:10.1016/j.gie.2011.03.1248

Cited by 78 publications

(64 citation statements)

References 33 publications

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“…Although some studies have cited a smaller proportion of total resections, in the range of 59.4-74.1% [15,29], a sufficiently large incision in the submucosal layer can improve this parameter. Moreover, despite a lower rate of R0 resection, the recurrence rate for hESD was comparable to that for classic ESD, that is less than 2% [37].…”

Section: Esd Of Colorectal Neoplasmsmentioning

confidence: 81%

Treatment of large colorectal neoplasms by endoscopic submucosal dissection

Białek

Pertkiewicz²,

Karpińska-Kaczmarczyk³

et al. 2014

European Journal of Gastroenterology &Amp; Hepatology

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Section: Esd Of Colorectal Neoplasmsmentioning

confidence: 81%

Treatment of large colorectal neoplasms by endoscopic submucosal dissection

Białek

Pertkiewicz²,

Karpińska-Kaczmarczyk³

et al. 2014

European Journal of Gastroenterology &Amp; Hepatology

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“…A fixed flexible snare knife for 2 lesions (Kachu Technology Co., Seoul, Korea) or dual knife for 13 lesions (Olympus Co.) was used for the mucosal incision and dissection. Sodium hyaluronate solution tinted with indigo carmine was used for submucosal injection . For lesions with vaguely distinct borders, diathermic marks were made circumferentially at least 3–5 mm from the lesion (Fig.…”

Section: Methodsmentioning

confidence: 99%

Outcomes of ulcerative colitis‐associated dysplasia patients referred for potential endoscopic submucosal dissection

Yang

Kim

Song

et al. 2019

J of Gastro and Hepatol

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Background and Aim The feasibility of endoscopic submucosal dissection (ESD) as a treatment option for dysplasia in ulcerative colitis (UC) has been reported, but the associated therapeutic decision‐making and clinical outcomes have not been extensively investigated. Methods We retrospectively reviewed 25 UC patients who were referred for potential ESD of non‐polypoid or sessile dysplasia. We analyzed the treatment decisions and the ESD and colectomy outcomes for this patient group. Results All lesions were located at the colitic segments. The median UC duration was 13.4 years. A colectomy was recommended for 10 patients because of ulceration with indistinct borders (one patient), non‐ulceration with indistinct borders (two patients), and non‐lifting signs (seven patients). The remaining 15 patients underwent ESD. The en bloc and R0 resection rates were 93.3% and 80%, respectively. The median hospitalization periods were 1 (range, 1–2) day after ESD and 7 (range, 5–30) days after colectomy. No procedure‐related complications occurred after ESD, but early and late postoperative complications occurred in two (22.2%) and six (66.7%) of the colectomized patients, respectively. Fourteen ESD cases were followed endoscopically for a median period of 24.7 (range, 5.2–64.8) months. Local recurrence occurred in 2 (14.3%) patients, and metachronous recurrence was identified in two separate patients (14.3%). Conclusions Endoscopic submucosal dissection is a feasible endoscopic treatment option for UC‐associated dysplasia showing noninvasive pit or vascular patterns, no surface ulceration, distinct borders, and appropriate lifting after submucosal injection. Meticulous endoscopic surveillance is essential to monitor for local or metachronous recurrence of dysplasia after ESD.

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“…Finally, the lesion was resected completely from the muscularis propria layer with the knife. Moreover, in the final stage of the ESD procedure, we also used a snare to grasp and remove the undissected, narrowed submucosal tissue, which made the ESD simpler (8). Exposed vessels on the artificial ulcer were coagulated with APC to prevent delayed bleeding (vi).…”

Section: Esd Proceduresmentioning

confidence: 99%