How to establish endoscopic submucosal dissection in Western countries
نویسندگان
چکیده
منابع مشابه
Endoscopic mucosal resection and endoscopic submucosal dissection as treatments for early gastrointestinal cancers in Western countries.
Early gastrointestinal cancers are defined as lesions limited to the mucosa or submucosa without invading the muscularis propria, regardless of the presence of lymph node metastases. Although the natural history of these diseases is basically alike worldwide, its management is quite different between the East and West; aggressive surgery is frequently adopted by Western surgeons, while less inv...
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Endoscopic submucosal dissection (ESD) is a minimally invasive technique developed by Japanese endoscopists that allows one-piece endoscopic removal of early malignant lesions in the gastrointestinal tract. There is now a large and ever-increasing number of reports worldwide, and in the West use of this technique is on the increase. New materials and techniques have been developed to improve th...
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To discuss the rationale for the widespread application of endoscopic mucosal resection (EMR) rather than endoscopic submucosal dissection (ESD) in Western centers. In Western centers, EMR is the treatment of choice for most non-pedunculated colorectal adenomas >2 cm in size. EMR is sufficiently effective and safe to be performed without post-procedure hospitalization. Advances in EMR have led ...
متن کاملEndoscopic submucosal dissection (ESD): still a matter for debate or a gold standard technique in both Western and Eastern countries?
Endoscopic submucosal dissection (ESD) was developed to make possible the en bloc removal of large, flat, superficial lesions of the gastrointestinal tract, and reports on its efficiency were first published more than 25 years ago [1,2]. In Eastern countries, this technique became the gold standard for the treatment of early gastric cancer. Since then, indications for the method have been expan...
متن کاملEndoscopic Submucosal Dissection (ESD) in Colorectal Tumors
BACKGROUND Endoscopic submucosal dissection (ESD) is accepted as a minimally invasive treatment for early gastric cancer, however, it is not widely used in the colorectum because of its technical difficulty. OBJECTIVE To determine the feasibility of using ESD for treating large superficial colorectal tumors. PATIENTS A total of 400 consecutive patients were treated by ESD for 405 lesions at...
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ژورنال
عنوان ژورنال: World Journal of Gastroenterology
سال: 2015
ISSN: 1007-9327
DOI: 10.3748/wjg.v21.i40.11209