Abstract
Endoscopic submucosal dissection (ESD) was developed in Japan for the en-bloc resection of early gastric cancer. Main advantages of ESD are the possibility of a histo-pathological evaluation of the entire specimen as well as a lower local -recurrence rate compared to piecemeal resec-tion. The article summarizes the concept of ESD and gives the an overview of the indications accept-ed for local treatment of early GI cancers. Technical problems resulting form difficult loca-tions of the lesion are discussed as well as the technical prerequisites and the qualification of the endoscopist. The different steps of the pro-cedure are illustrated on the basis of a gastric ESD.
Original language | English |
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Pages (from-to) | 34-37 |
Number of pages | 4 |
Journal | Endoskopie Heute |
Volume | 23 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2010 |
Externally published | Yes |
Keywords
- EMR
- ESD
- IT knife
- dual knife
- en-bloc resection
- endoscopic resection
- endoscopic training
- hook knife
- piecemeal resection
- technical aspects
ASJC Scopus subject areas
- Surgery
- Radiology Nuclear Medicine and imaging
- Gastroenterology