High efficacy of endoscopic submucosal dissection for rectal laterally spreading tumors larger than 3 cm

Treatment of large colorectal neoplasms by endoscopic submucosal dissection

“…study represents one of the few European analyses of ESD treatment and the ESD learning curve in a large group of patients. To date, only two groups, one in Germany and one in Italy, have conducted similar investigations [15,16]. The lack of such studies reflects the situation in Europe, where the ESD technique is not yet in common use.…”

Endoscopic mucosal resection and endoscopic submucosal dissection for colorectal lesions: A systematic review

“…Moreover, lesions that would be very difficult to resect by conventional EMR from the technical viewpoint are also considered as an indication for ESD, including the lesions showing poor-or non-lifting after submucosal injection, local recurrent lesions following previous treatment, and relatively large protruded type lesions (Saito et al, 2010a;Toyonaga et al, 2010;Tajika et al, 2011;Lee et al, 2012;Kobayashi et al, 2012;Terasaki et al, 2012;Kim et al, 2013;Oka et al, 2015;Fujishiro et al, 2007;Saito et al, 2013;Matsuda et al, 2010;Yamamoto et al, 2002;Saito et al, 2001Saito et al, , 2007Tanaka et al, 2007;Tamegai et al, 2007;Hurlstone et al, 2007;Isomoto et al, 2009;Niimi et al, 2010;Saito et al, 2010b;Takeuchi et al, 2010;Uraoka et al, 2011;Probst et al, 2012;Iacopini et al, 2012;Lee et al, 2013;Xu et al, 2013;Repici et al, 2013;Rahmi et al, 2014;Białek et al, 2014;Agapov and Dvoinikova, 2014;Spychalski and Dziki, 2015).…”

Retrospective study of technical aspects and complications of endoscopic submucosal dissection for large superficial colorectal tumors

“…In recent years, the efficacy of colorectal endoscopic submucosal dissection (ESD) has been increasingly reported and, in Japan, the number of facilities that carry out colorectal ESD has increased. However, colorectal ESD is still difficult because the colonic wall is thin and endoscopic stabilization is more difficult than in gastric and esophageal ESD, and a high rate of perforation has been reported .…”