Endoscopic submucosal dissection (ESD) is a treatment for superficial tumors, pre-cancerous, and early cancerous lesions in the gastrointestinal (GI) tract
For me, the most important thing is to classify the lesions very well (not only in terms of size, morphology and glandular pattern -risk of submucosal invasion-, but also based on location and maneuverability). Lesions in the right colon and angles are much more complex to resect by DSE (here the use of double-balloon endoscopes or Dilumen-type devices may be necessary). For large lesions in the rectosigmoid, I believe that DSE should be the technique of choice.
For me, the most important thing is to classify the lesions very well (not only in terms of size, morphology and glandular pattern -risk of submucosal invasion-, but also based on location and maneuverability). Lesions in the right colon and angles are much more complex to resect by DSE (here the use of double-balloon endoscopes or Dilumen-type devices may be necessary). For large lesions in the rectosigmoid, I believe that DSE should be the technique of choice.
Great comments. Agree with you 👍🏻
Is there comparative study EMR vs ESD?
Yes. The RESECTCOLON STUDY will be published this year.
- The superiority in RESECT of ESD over p-EMR regarding recurrence (0,6% vs 5,1%) and R0 (93,8% vs 12,1%) are points that greatly support ESD
This is link to the abstract:
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0042-1744770
Very important study, it will be a landmark study in this aspect
Thanks for sharing
Yes. The RESECTCOLON STUDY will be published this year.
- The superiority in RESECT of ESD over p-EMR regarding recurrence (0,6% vs 5,1%) and R0 (93,8% vs 12,1%) are points that greatly support ESD