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ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
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Quality in upper gastrointestinal endoscopic submucosal dissection
Flaminia Purchiaroni1, Guido Costamagna1, Cesare Hassan2
1Digestive Endoscopy Unit, Fondazione Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.
Annals of Translational Medicine
|August 11, 2018
Summary
Endoscopic submucosal dissection (ESD) is an advanced technique for removing early gastrointestinal lesions. Careful patient and lesion assessment by expert endoscopists is crucial for safe and effective upper GI ESD.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Advances in endoscopy have improved early gastrointestinal (GI) lesion diagnosis and treatment.
- Endoscopic submucosal dissection (ESD) was developed in Japan for en bloc resection of superficial GI lesions, aiming for curative treatment and organ preservation.
Purpose of the Study:
- To review the indications, limitations, and technical aspects of upper GI ESD.
- To provide guidance on lesion assessment for ESD eligibility.
Main Methods:
- Review of current literature and clinical practices regarding upper GI ESD.
- Analysis of factors influencing ESD feasibility and outcomes.
Main Results:
- ESD is widely adopted in Asia for early GI lesions and gaining traction in Western countries.
- Safe and effective ESD requires expert endoscopists and careful pre-procedural lesion assessment.
Conclusions:
- ESD offers a minimally invasive option for treating early upper GI lesions.
- Thorough evaluation of lesion characteristics is essential to determine suitability for ESD and optimize patient outcomes.
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