Review on colorectal endoscopic submucosal dissection focusing on the technical aspect

Area of Science:

• Gastroenterology
• Endoscopic Surgery

Background:

• Endoscopic submucosal dissection (ESD) offers superior en bloc resection for colorectal polyps and tumors.
• ESD is technically demanding, necessitating specialized equipment and techniques.
• Existing literature on colorectal ESD is fragmented.

Purpose of the Study:

• To provide a comprehensive review of colorectal ESD.
• To detail the setup and technical aspects of colorectal ESD.
• To consolidate scattered information on colorectal ESD.

Main Methods:

• Systematic review of PubMed and reference lists.
• In-depth appraisal of setting, equipment, and technical aspects.
• Categorization and review of 216 identified articles (25 reviews, 191 original).

Main Results:

• Identified 216 relevant articles for review.
• Analyzed setting, equipment, and technical elements of colorectal ESD.
• Synthesized information to address the complexity of ESD.

Conclusions:

• Colorectal ESD, while demanding, is a masterable endoscopic procedure.
• Adequate preparation, equipment knowledge, and technical skill are crucial for safe ESD.
• This review aims to facilitate smoother and safer colorectal ESD performance.