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Indications and Techniques for Endoscopic Submucosal Dissection.
Am J Gastroenterol 2015; 110(6):784-91AJ

Abstract

Endoscopic submucosal dissection (ESD) allows for curative resection of superficial neoplasms of the gastrointestinal tract. Although ESD is the standard of care in Japan, its adoption in the West has been slow. Recent studies have shown the advantages of ESD over endoscopic mucosal resection, and as many of the barriers to ESD have been overcome, we are seeing an increasing interest in this technique. ESD can be used to treat superficial gastric, esophageal, and colorectal lesions. The most important pre-procedure step is estimating the depth of invasion of a lesion and by proxy the risk of lymph node metastasis. After a lesion has been resected, the histopathological analysis will determine whether the resection was curative or whether further surgery is needed. In conclusion, ESD is being more widely used in the West, and it is important to understand the indications, limitations, and techniques of ESD.

Authors+Show Affiliations

Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.Endoscopy Division, National Cancer Center, Hospital, Tokyo, Japan.Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.Endoscopy Division, National Cancer Center, Hospital, Tokyo, Japan.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

25623656

Citation

Bhatt, Amit, et al. "Indications and Techniques for Endoscopic Submucosal Dissection." The American Journal of Gastroenterology, vol. 110, no. 6, 2015, pp. 784-91.
Bhatt A, Abe S, Kumaravel A, et al. Indications and Techniques for Endoscopic Submucosal Dissection. Am J Gastroenterol. 2015;110(6):784-91.
Bhatt, A., Abe, S., Kumaravel, A., Vargo, J., & Saito, Y. (2015). Indications and Techniques for Endoscopic Submucosal Dissection. The American Journal of Gastroenterology, 110(6), pp. 784-91. doi:10.1038/ajg.2014.425.
Bhatt A, et al. Indications and Techniques for Endoscopic Submucosal Dissection. Am J Gastroenterol. 2015;110(6):784-91. PubMed PMID: 25623656.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Indications and Techniques for Endoscopic Submucosal Dissection. AU - Bhatt,Amit, AU - Abe,Seiichiro, AU - Kumaravel,Arthi, AU - Vargo,John, AU - Saito,Yutaka, Y1 - 2015/01/27/ PY - 2015/1/28/entrez PY - 2015/1/28/pubmed PY - 2015/8/19/medline SP - 784 EP - 91 JF - The American journal of gastroenterology JO - Am. J. Gastroenterol. VL - 110 IS - 6 N2 - Endoscopic submucosal dissection (ESD) allows for curative resection of superficial neoplasms of the gastrointestinal tract. Although ESD is the standard of care in Japan, its adoption in the West has been slow. Recent studies have shown the advantages of ESD over endoscopic mucosal resection, and as many of the barriers to ESD have been overcome, we are seeing an increasing interest in this technique. ESD can be used to treat superficial gastric, esophageal, and colorectal lesions. The most important pre-procedure step is estimating the depth of invasion of a lesion and by proxy the risk of lymph node metastasis. After a lesion has been resected, the histopathological analysis will determine whether the resection was curative or whether further surgery is needed. In conclusion, ESD is being more widely used in the West, and it is important to understand the indications, limitations, and techniques of ESD. SN - 1572-0241 UR - https://www.unboundmedicine.com/medline/citation/25623656/Indications_and_Techniques_for_Endoscopic_Submucosal_Dissection_ L2 - http://Insights.ovid.com/pubmed?pmid=25623656 DB - PRIME DP - Unbound Medicine ER -