BOOK
Endoscopic Submucosal Dissection, An Issue of Gastrointestinal Endoscopy Clinics, E-Book
(2014)
Additional Information
Book Details
Abstract
In this issue of Gastrointestinal Endoscopy Clinics of North America, we invited pioneers and experts in this field to share recent advancements and expansions of ESD and its technical aspects in different organ systems. In addition, this issue covers the associated techniques of per oral endoscopic myotomy (POEM) and natural orifice transluminal endoscopic surgery (NOTES) to further advance understanding of the latest breakthroughs in endoscopic therapy. Current trends surrounding ESD around the world—in Asia, Europe, and the United States—are addressed as well. Some articles include videos for readers to watch ESD procedures in action, performed by experts, for easier understanding of ESD techniques. The Guest Editors expect that this issue will inspire more physicians to explore the expanding possibilities of endoscopic therapy such as ESD and POEM and to advocate minimally invasive treatment for patients.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Endoscopic Submucosal\rDissection | i | ||
| copyright\r | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Gastrointestinal Endoscopy Clinics\rOf North America\r | xii | ||
| Foreword\r | xiii | ||
| Preface\r | xv | ||
| Expanding Indications for ESD Mucosal Disease (Upper and Lower Gastrointestinal\rTract) | 161 | ||
| Key points | 161 | ||
| Upper gastrointestinal tract | 161 | ||
| Lower gastrointestinal tract | 164 | ||
| References | 165 | ||
| Expanding Indications for ESD | 169 | ||
| Key points | 169 | ||
| Introduction—expansion of indication for ESD | 169 | ||
| SMT | 170 | ||
| Carcinoid tumor | 170 | ||
| ESD for esophageal submucosal tumor | 171 | ||
| ESD for gastric submucosal tumor | 173 | ||
| ESD for colorectal submucosal tumor | 175 | ||
| ESD for submucosal tumor in other organs | 177 | ||
| Future perspectives | 177 | ||
| Acknowledgments | 178 | ||
| References | 178 | ||
| Electrocautery for ESD | 183 | ||
| Key points | 183 | ||
| Introduction | 183 | ||
| ESU description | 184 | ||
| Differences between cut output and coagulation output | 184 | ||
| Features of VIO300D | 185 | ||
| New features of the VIO300D | 185 | ||
| DRY CUT and SWIFT COAG | 185 | ||
| ENDO CUT I and Q | 185 | ||
| Specific settings in the endoscopy unit for VIO300D | 187 | ||
| Case presentation | 187 | ||
| Supplementary data | 189 | ||
| References | 189 | ||
| Endoscopic Submucosal Dissection (ESD) Versus Simplified/Hybrid ESD | 191 | ||
| Key points | 191 | ||
| Introduction | 191 | ||
| Methods | 193 | ||
| Clinical results | 194 | ||
| Discussion | 195 | ||
| Summary | 198 | ||
| References | 198 | ||
| Esophageal ESD | 201 | ||
| Key points | 201 | ||
| Introduction | 201 | ||
| Endoknives | 201 | ||
| Marking | 202 | ||
| Submucosal injection | 202 | ||
| Mucosal incision | 202 | ||
| Submucosal dissection | 205 | ||
| A Tunneling Method | 205 | ||
| Clip with Line Methods | 205 | ||
| Hemostasis | 208 | ||
| Hemostasis Using Knife | 208 | ||
| Hemostatic Procedures Using Hemostatic Forceps | 208 | ||
| Prevention of bleeding | 208 | ||
| Complications | 208 | ||
| Prevention of stricture after ESD | 210 | ||
| Summary | 210 | ||
| References | 210 | ||
| Gastric ESD | 213 | ||
| Key points | 213 | ||
| Principle of endoscopic resection as a definitive treatment | 213 | ||
| Indications for endoscopic resection | 215 | ||
| Complications | 215 | ||
| Diagnosis | 217 | ||
| Training | 218 | ||
| Practical approach | 220 | ||
| Endoscopes and Endoscope Accessories | 220 | ||
| Dedicated ESD Devices | 220 | ||
| Injection Agents | 221 | ||
| Electrosurgical Generator and Generator Settings | 221 | ||
| ESD Planning Strategy | 222 | ||
| Procedural Steps | 222 | ||
| Determining the lateral extent of the lesion | 222 | ||
| Mucosal markings | 222 | ||
| Submucosal injection | 222 | ||
| Initial mucosal incision (precutting) | 222 | ||
| Circumferential incision | 223 | ||
| Submucosal dissection | 223 | ||
| Innovations for ESD | 225 | ||
| Limitations of Current Standard Endoscopic Surgical Systems | 225 | ||
| Recent Innovations in ESD Instrumentations and Future Possibilities | 225 | ||
| Supplementary data | 228 | ||
| References | 228 | ||
| Duodenal ESD | 235 | ||
| Key points | 235 | ||
| Introduction | 235 | ||
| Factors of difficulty in duodenal ESD | 236 | ||
| Anatomic Features | 236 | ||
| Endoscopic Maneuverability | 236 | ||
| Selection of ESD in the Duodenum | 237 | ||
| Recommended techniques in duodenal ESD | 238 | ||
| How to Overcome the Difficulties | 238 | ||
| Injection Solution | 239 | ||
| Transparent Hood and Dissection Technique | 239 | ||
| ESD Knives | 240 | ||
| Hemostasis | 241 | ||
| Stabilization of Endoscopic Maneuver | 241 | ||
| General anesthesia | 241 | ||
| Double-balloon endoscope | 241 | ||
| ESD for lesions involving the papilla of Vater | 242 | ||
| How to avoid delayed perforation | 243 | ||
| Summary | 243 | ||
| Supplementary data | 243 | ||
| References | 243 | ||
| Colorectal ESD | 245 | ||
| Key points | 245 | ||
| Introduction | 245 | ||
| Indications for colorectal ESD | 246 | ||
| Estimating depth of invasion | 247 | ||
| ESD Procedure at National Cancer Center Hospital | 247 | ||
| Materials | 247 | ||
| Endoscope system | 247 | ||
| ESD knives | 247 | ||
| Distal attachment | 247 | ||
| Carbon dioxide regulator | 248 | ||
| Bipolar hemostatic forceps | 248 | ||
| Submucosal injection solution | 248 | ||
| Electrosurgical generators | 249 | ||
| Colorectal ESD Procedures | 249 | ||
| Clinical outcomes of ESDs at National Cancer Center Hospital | 249 | ||
| Technical progress of colorectal ESD | 251 | ||
| Comparison Between ESD and EMR | 251 | ||
| Comparison of ESD and surgery | 251 | ||
| Post-ESD care recommendations | 252 | ||
| Establishment of systematic training for colorectal ESD | 252 | ||
| Summary | 252 | ||
| References | 253 | ||
| Submucosal Endoscopy | 257 | ||
| Key points | 257 | ||
| Introduction | 257 | ||
| Advancement in technology from endoscopic mucosal resection/ESD to POEM | 258 | ||
| History of achalasia treatment | 258 | ||
| Endoscopic myotomy | 259 | ||
| What are the technical differences between ESD and POEM? | 259 | ||
| The POEM procedure | 260 | ||
| Equipment Required for POEM | 260 | ||
| Endoscope and distal attachment | 260 | ||
| Carbon dioxide insufflator | 260 | ||
| Triangle-tip knife | 261 | ||
| Electrocautery generator | 261 | ||
| Coagulation forceps | 261 | ||
| POEM Procedure | 261 | ||
| Step 1: general anesthesia and CO2 insufflation through the endoscope | 261 | ||
| Step 2: submucosal tunneling | 261 | ||
| Step 3: endoscopic myotomy | 262 | ||
| Step 4: closure of mucosal entry | 262 | ||
| An extension of POEM: submucosal endoscopic tumor resection | 263 | ||
| References | 263 | ||
| Investigating Deeper | 265 | ||
| Key points | 265 | ||
| Introduction | 265 | ||
| Submucosal endoscopy with mucosal flap safety valve technique and off-set access to extraluminal spaces for NOTES | 266 | ||
| Intramural endoscopy for deeper layer visualization | 269 | ||
| Intramural therapeutic inventions: achalasia myotomy, myomectomy for submucosal tumor removal, and submucosal endoscopy wit ... | 270 | ||
| Summary | 271 | ||
| References | 271 | ||
| Regenerative Medicine | 273 | ||
| Key points | 273 | ||
| Introduction | 273 | ||
| Post–endoscopic submucosal dissection esophageal stricture | 274 | ||
| Regenerative medicine in endoscopy | 274 | ||
| Cell sheet technology | 274 | ||
| Treatment using autologous oral mucosal epithelial cell sheets for the prevention of stricture | 275 | ||
| Preparation for transplantation | 276 | ||
| Transplantation technique | 277 | ||
| Future directions | 278 | ||
| Epidermal Epithelial Cell Sheet | 278 | ||
| Allogeneic Cell Sheet | 278 | ||
| Development of a Device for Endoscopic Transplantation | 278 | ||
| Supplementary data | 278 | ||
| References | 278 | ||
| ESD Around the World | 283 | ||
| Key points | 283 | ||
| Introduction | 283 | ||
| Development of ESD | 284 | ||
| Endoscopic and pathologic outcomes of ESD | 284 | ||
| Oncologic outcomes of ESD | 288 | ||
| Ongoing issues and forecast of ESD | 288 | ||
| Management of Noncurative ESD and ESD with High-risk Factors of Recurrence | 288 | ||
| Poorly Differentiated and Undifferentiated Adenocarcinomas | 289 | ||
| ESD with Sentinel Node Navigation | 290 | ||
| Endoscopic Full-thickness Resection/Laparoscopic Intragastric Full-thickness Excision | 290 | ||
| Hybrid Natural Orifice Transluminal Endoscopic Surgery | 290 | ||
| Summary | 290 | ||
| References | 291 | ||
| ESD Around the World | 295 | ||
| Key points | 295 | ||
| Introduction | 295 | ||
| Definition of outcome parameters of endoscopic resection | 296 | ||
| ESD of early gastric neoplasia | 297 | ||
| ESD of early esophageal neoplasia | 302 | ||
| ESD of early colorectal neoplasia | 303 | ||
| Training for ESD in Europe | 306 | ||
| Summary | 306 | ||
| References | 308 | ||
| ESD Around the World: United States | 313 | ||
| Key points | 313 | ||
| Issues for ESD training in the United States | 314 | ||
| Current moves and the future of ESD training in the United States | 316 | ||
| Advancement of ESD to further lower the hurdle | 318 | ||
| Summary | 318 | ||
| Acknowledgments | 318 | ||
| References | 318 | ||
| Index | 321 |