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Recent Development of Techniques and Devices in Colorectal Endoscopic Submucosal Dissection

Authors :
Hiroya Mizutani
Satoshi Ono
Daisuke Ohki
Chihiro Takeuchi
Seiichi Yakabi
Yosuke Kataoka
Itaru Saito
Yoshiki Sakaguchi
Chihiro Minatsuki
Yosuke Tsuji
Keiko Niimi
Shinya Kodashima
Nobutake Yamamichi
Mitsuhiro Fujishiro
Kazuhiko Koike
Source :
Clinical Endoscopy, Vol 50, Iss 6, Pp 562-568 (2017)
Publication Year :
2017
Publisher :
Korean Society of Gastrointestinal Endoscopy, 2017.

Abstract

Colorectal endoscopic submucosal dissection (ESD) is now a well-established endoscopic treatment for early-stage colorectal neoplasms, especially in Asian countries, including Japan. Despite the spread of colorectal ESD, there are still situations in which achieving successful submucosal dissection is difficult. Various novel techniques and devices have been developed to overcome these difficulties, and past reports have shown that some of these strategies can be applied to colorectal ESD. We review several recent developments in the field. The techniques reviewed include the pocket creation method and traction methods and the devices reviewed include the overtube with balloon and electrosurgical knives with water-jet function. These improved techniques and devices can facilitate safer, more reliable ESDs and expand its applicability and acceptability all over the world.

Details

Language :
English
ISSN :
22342400 and 22342443
Volume :
50
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Clinical Endoscopy
Publication Type :
Academic Journal
Accession number :
edsdoj.4a74a3434d47a5a0a4e23a3fe46d39
Document Type :
article
Full Text :
https://doi.org/10.5946/ce.2017.108