GI Now for Group Practice-Endoscopic Submucosal Dissection of Colon Lateral Spreading Tumor

Video Transcription

Video Summary

The video summarizes the indications, techniques, complications, and future direction of Endoscopic Submucosal Dissection (ESD) for colon lesions. ESD is a minimally invasive procedure that allows for the removal of early colorectal cancers without the need for major surgery. It involves injecting a solution into the submucosal layer to create a safety cushion, followed by incision and dissection of the lesion using various knives and endoscopic accessories. ESD has evolved from a controversial procedure to a widely accepted one in many countries over the past decade. The use of ESD allows for en bloc resection of tumors, which has been associated with a lower rate of recurrence compared to traditional methods. However, ESD is a challenging and time-consuming procedure that requires extensive training and expertise. Complications of ESD include bleeding and perforation, which can be managed with endoscopic closure or surgery if necessary. The video emphasizes the importance of accurate histopathological evaluation of resected specimens to ensure successful ESD. The future of ESD lies in the development of new tools and techniques to improve safety and facilitate its wider adoption. Thorough follow-up protocols for patients who have undergone ESD are also needed.

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Keywords

Endoscopic Submucosal Dissection

colon lesions

minimally invasive procedure

early colorectal cancers

en bloc resection

complications

histopathological evaluation