Author contributions: Toshio Uraoka, planning, manuscript direction and drafting; Adolfo Parra-Blanco, manuscript drafting; Naohisa Yahagi, planning and manuscript direction.
COLORECTAL ENDOSCOPIC SUBMUCOSAL DISSECTION IN JAPAN AND WESTERN COUNTRIES
Article first published online: 25 APR 2012
© 2012 The Authors. Digestive Endoscopy © 2012 Japan Gastroenterological Endoscopy Society
Special Issue: Proceedings of the Endoscopy Forum Japan 2011
Volume 24, Issue Supplement s1, pages 80–83, May 2012
How to Cite
URAOKA, T., PARRA-BLANCO, A. and YAHAGI, N. (2012), COLORECTAL ENDOSCOPIC SUBMUCOSAL DISSECTION IN JAPAN AND WESTERN COUNTRIES. Digestive Endoscopy, 24: 80–83. doi: 10.1111/j.1443-1661.2012.01279.x
- Issue published online: 25 APR 2012
- Article first published online: 25 APR 2012
- Received 27 December 2011; accepted 10 January 2012.
- endoscopic submucosal dissection;
- training model;
- Western countries
Various studies by Japanese endoscopists have demonstrated that colorectal endoscopic submucosal dissection (ESD) can overcome technical limitations of the endoscopic mucosal resection (EMR) technique such as piecemeal resection for flat lesions larger than 20 mm, resection of lesions involving the dentate line or the ileocecal valve and lesions with the non-lifting sign, and achieve higher en bloc resection rate. However, it is infrequently performed in Western countries in comparison with Japan, despite the advantages explained above. There are some differences between Japan and Western countries in environments and clinical settings for performing ESD in the colorectum. Endoscopists who perform colorectal ESD around the world are considering that refinements in ESD techniques, devices and training will be necessary to further reduce a higher risk of complications and longer procedure times before adoption of ESD can be recommended on a widespread international scale.