Current practices in endoscopic submucosal dissection for colorectal neoplasms: a survey of indications among Korean endoscopists

Intestinal research
Tae Jun KimDong Kyung Chang

Abstract

The indications for colorectal endoscopic submucosal dissection (ESD) vary in clinical practice. To establish colorectal ESD as a standard treatment, standard indications are essential. For establishing standard indications for colorectal ESD, we surveyed the preferences and criteria of endoscopists for colorectal ESD in their practices. A multiple-choice questionnaire was sent to 27 members of the Korean Society of Gastrointestinal Endoscopy/ESD group. The indications of endoscopists for selecting ESD as a treatment for colorectal tumors ≥2 cm in diameter were surveyed. On the basis of the preprocedural assessment of histology, adenoma with high-grade dysplasia, mucosal cancer, and shallow submucosa invasive cancer were included in the indication for ESD. Based on gross morphology, laterally spreading tumor (LST) granular nodular mixed type, LST-nongranular (LST-NG) flat elevated type, and LST-NG pseudodepressed type were included. On the basis of the pit pattern by Kudo classification, types III, IV, and V-I were included. Based on the narrow band imaging pattern by Sano classification, types II and III-a were included. Other lesions, such as sporadic localized tumors in chronic inflammation and local residual early carcinoma...Continue Reading

References

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Citations

Feb 7, 2019·Journal of Gastroenterology and Hepatology·Dong-Hoon YangSuk-Kyun Yang
Mar 14, 2018·International Journal of Colorectal Disease·Seohyun LeeDong-Hoon Yang
May 26, 2020·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Chan Hyuk ParkHoon Jai Chun
Apr 8, 2020·Clinical Endoscopy·Chan Hyuk ParkHoon Jai Chun
Jul 30, 2020·Expert Review of Gastroenterology & Hepatology·Yanqin XuXiao Lu Lin
Jul 21, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Ferdinando D'AmicoUNKNOWN Bowell Group
Oct 14, 2020·Intestinal research·Chan Hyuk ParkHoon Jai Chun

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Methods Mentioned

BETA
dissection
surgical resection

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