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Endoscopic submucosal dissection for superficial esophageal neoplasms
Satoshi Ono1, Mitsuhiro Fujishiro, Kazuhiko Koike
1Satoshi Ono, Center for Epidemiology and Preventive Medicine, Graduate School of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo, Tokyo 113-8655, Japan.
World Journal of Gastrointestinal Endoscopy
|May 25, 2012
Summary
Endoscopic submucosal dissection (ESD) effectively removes superficial gastrointestinal neoplasms, including esophageal ones. Careful indication and skilled execution are crucial to prevent complications like perforation and stricture.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Endoscopic submucosal dissection (ESD) is a primary treatment for superficial gastrointestinal neoplasms.
- ESD is effective for lesions of any size and fibrosis, with good outcomes for esophageal neoplasms.
- Increasing ESD use is noted due to favorable outcomes and low metastasis risk.
Purpose of the Study:
- To provide detailed information on ESD for superficial esophageal neoplasms.
- To cover indications, procedures, outcomes, and complication prevention.
Main Methods:
- Review of current literature and clinical practices regarding ESD for esophageal neoplasms.
- Highlighting technical aspects and indications for careful consideration.
Main Results:
- ESD is effective for various lesion sizes and fibrosis levels.
- Low likelihood of lymph node metastasis in esophageal neoplasms enhances ESD candidacy.
- Technical difficulty necessitates skilled endoscopists to avoid complications.
Conclusions:
- ESD is a valuable tool for superficial esophageal neoplasms.
- Careful patient selection and procedural expertise are essential for successful ESD.
- Understanding indications and potential complications is vital for safe and effective treatment.
