TECHNICAL TIPS AND TROUBLE-SHOOTING IN COLORECTAL ENDOSCOPIC SUBMUCOSAL DISSECTION

Abstract

Colorectal endoscopic submucosal dissection (ESD) was approved for coverage by the national health insurance in April 2012, and this procedure is now widely performed at many institutions. Colorectal ESD is suitable for the treatment of large intramucosal colorectal cancers. However, colorectal ESD is technically more demanding than gastric ESD, and is associated with a higher incidence of procedural complications. The present article describes technical tips and trouble-shooting in colorectal ESD. We consider that the basic techniques are very important for the safe performance of ESD.