Stomach and Intestine(Tokyo) Volume 48, Issue 2 (February 2013)
Japanese

Indication for Endoscopic Submucosal Dissection from the Standpoint of Growth Type, Size and Pit Pattern Diagnosis in Colorectal Tumors Yoshiki Wada 1 , Shin-ei Kudo 1 , Takemasa Hayashi 1 , Kosuke Sudo 1 , Naoya Toyoshima 1 , Masashi Misawa 1 , Tomoyuki Ishigaki 1 , Shingo Matsudaira 1 , Yukiko Shakuo 1 , Yasuharu Maeda 1 , Kenta Igarashi 1 , Katsuaki Ichimasa 1 , Seiko Hayashi 1 , Koichi Miyahara 1 , Yusaku Sugihara 1 , Yuichi Mori 1 , Toyoki Kudo 1 , Kenta Kodama 1 , Tomokazu Hisayuki 1 , Kunihiko Wakamura 1 , Hideyuki Miyachi 1 , Fuyuhiko Yamamura 1 1Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan Keyword: ESD , 大腸腫瘍 , 適応 , LST , pit pattern pp.134-144
Published Date 2013/2/25
DOI https://doi.org/10.11477/mf.1403113717
  • Abstract
  • Look Inside
  • Reference
  • Cited by

 Colorectal ESD(endoscopic submucosal dissection)has become a common treatment in Japan. It has made possible en bloc resection of colorectal tumors regardless of size but has a relatively higher degree of difficulty. We must evaluate colorectal lesions on growth type, size and pit pattern diagnosis and select an adequate treatment based on the accurate diagnosis. ESD is indicated for the over 20mm colorectal tumors such as ; 1)LST-NG(PD)(pseudo-depressed type)that are difficult to resect en bloc, using a single snare, 2)lesions in which it is difficult to remove the Vi pit pattern area en bloc, using a snare, 3)lesions with fibrosis showing the non-lifting sign, 4)residual lesions or recurrence after endoscopic resection and so on. It is also important to consider the endoscopists'skill level, the characteristics of the lesions and their endoscopic manipulability.


Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.

基本情報

05362180.48.2.jpg
胃と腸
48巻2号 (2013年2月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有