Topic Highlight
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World J Gastroenterol. Nov 21, 2014; 20(43): 16153-16158
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16153
Endoscopic submucosal dissection for colorectal neoplasms: A review
Taku Sakamoto, Genki Mori, Masayoshi Yamada, Yuzuru Kinjo, Eriko So, Seiichiro Abe, Yosuke Otake, Takeshi Nakajima, Takahisa Matsuda, Yutaka Saito
Taku Sakamoto, Genki Mori, Masayoshi Yamada, Yuzuru Kinjo, Eriko So, Seiichiro Abe, Yosuke Otake, Takeshi Nakajima, Takahisa Matsuda, Yutaka Saito, Endoscopy Division, National Cancer Center Hospital, Tokyo 104-0045, Japan
Author contributions: Sakamoto T contributed to the literature search, manuscript writing and final revision of the article; Mori G, Yamada M, Kinjo Y, So E, Abe S, Otake Y, Nakajima T, Matsuda T and Saito Y contributed to the manuscript writing and the final revision of the article.
Correspondence to: Taku Sakamoto, MD, Endoscopy Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan. tasakamo@ncc.go.jp
Telephone: +81-3-35422511 Fax: +81-3-35423815
Received: February 27, 2014
Revised: May 1, 2014
Accepted: June 13, 2014
Published online: November 21, 2014
Core Tip

Core tip: For treatment of superficial colorectal tumors, endoscopists should be aware of the treatment strategies including the indications, technical issues, and adverse events of each technique. The most appropriate treatment should be selected according to this information and in accordance with the accurate endoscopic diagnosis. In terms of endoscopic submucosal dissection (ESD), the most serious complication is iatrogenic perforation at a rate of < 3%. However, most of our patients with this complication did not need emergency surgery. Hence, ESD is considered a safe and appropriate procedure when performed by experienced endoscopists who have acquired the necessary technical skills through adequate training.