Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection
Endoscopic submucosal dissection (ESD) is reported to be an efficient treatment with a high rate of en bloc resection for large colorectal tumors in Japan and some other Western and Asian countries. ESD is considered less invasive than laparoscopic colectomy. However, ESD carries a higher risk of pe...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/287173 |
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| _version_ | 1841524852053245952 |
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| author | Naohisa Yoshida Nobuaki Yagi Yutaka Inada Munehiro Kugai Akio Yanagisawa Yuji Naito |
| author_facet | Naohisa Yoshida Nobuaki Yagi Yutaka Inada Munehiro Kugai Akio Yanagisawa Yuji Naito |
| author_sort | Naohisa Yoshida |
| collection | DOAJ |
| description | Endoscopic submucosal dissection (ESD) is reported to be an efficient treatment with a high rate of en bloc resection for large colorectal tumors in Japan and some other Western and Asian countries. ESD is considered less invasive than laparoscopic colectomy. However, ESD carries a higher risk of perforation than endoscopic mucosal resection (EMR). Various devices and training methods for colorectal ESD have been developed to solve the difficulties. In this review, we describe the complications of colorectal ESD and prevention of those complications. On the other hand, colorectal ESD is difficult for less-experienced endoscopists. The unique step-by-step ESD training system is performed in Japan. Additionally, appropriate training, including animal model training, for colorectal ESD should be acquired before working on clinical cases. |
| format | Article |
| id | doaj-art-4a12aa4ea38c40b3812e2f210675a5b6 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-4a12aa4ea38c40b3812e2f210675a5b62025-02-03T05:47:08ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/287173287173Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal DissectionNaohisa Yoshida0Nobuaki Yagi1Yutaka Inada2Munehiro Kugai3Akio Yanagisawa4Yuji Naito5Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Surgical Pathology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanEndoscopic submucosal dissection (ESD) is reported to be an efficient treatment with a high rate of en bloc resection for large colorectal tumors in Japan and some other Western and Asian countries. ESD is considered less invasive than laparoscopic colectomy. However, ESD carries a higher risk of perforation than endoscopic mucosal resection (EMR). Various devices and training methods for colorectal ESD have been developed to solve the difficulties. In this review, we describe the complications of colorectal ESD and prevention of those complications. On the other hand, colorectal ESD is difficult for less-experienced endoscopists. The unique step-by-step ESD training system is performed in Japan. Additionally, appropriate training, including animal model training, for colorectal ESD should be acquired before working on clinical cases.http://dx.doi.org/10.1155/2013/287173 |
| spellingShingle | Naohisa Yoshida Nobuaki Yagi Yutaka Inada Munehiro Kugai Akio Yanagisawa Yuji Naito Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection Gastroenterology Research and Practice |
| title | Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection |
| title_full | Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection |
| title_fullStr | Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection |
| title_full_unstemmed | Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection |
| title_short | Prevention and Management of Complications of and Training for Colorectal Endoscopic Submucosal Dissection |
| title_sort | prevention and management of complications of and training for colorectal endoscopic submucosal dissection |
| url | http://dx.doi.org/10.1155/2013/287173 |
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