Topic Highlight
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastrointest Endosc. Jul 16, 2012; 4(7): 296-300
Published online Jul 16, 2012. doi: 10.4253/wjge.v4.i7.296
What are the latest developments in colorectal endoscopic submucosal dissection?
Toshio Uraoka, Yutaka Saito, Naohisa Yahagi
Toshio Uraoka, Naohisa Yahagi, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University, Tokyo 160-8582, Japan
Yutaka Saito, Division of Endoscopy, National Cancer Center Hospital, Tokyo 160-8582, Japan
Author contributions: Uraoka T planned, drafted and instrcuted the manuscript; Saito Y and Yahagi N instrcuted the manuscript.
Correspondence to: Toshio Uraoka, MD, PhD, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. turaoka@a3.keio.jp
Telephone: +81-3-33531211 Fax: +81-3-53633895
Received: October 13, 2011
Revised: April 21, 2012
Accepted: July 1, 2012
Published online: July 16, 2012
Abstract

Endoscopic submucosal dissection (ESD) enables direct submucosal dissection so that even large early-stage gastrointestinal tumors can be resected en bloc. ESD has recently been applied to the colorectum since it was originally developed for use in the stomach. However, colorectal ESD is technically more difficult with an increased risk of perforation compared with gastric ESD. In addition, this procedure is seldom performed in Western countries. Consequently, further technical advances and the availability of a suitable clinical training system are required for the extensive use of colorectal ESD. In this topic highlight, we review the most recent developments in colorectal ESD.

Keywords: Endoscopic submucosal dissection; Colonoscopy; Colorectum; Complication; Perforation; Training