title: Endoscopic submucosal dissection in the colorectum: Feasibility in the Canadian setting.
abstract: Endoscopic submucosal dissection is a minimally invasive endoscopic technique for the removal of gastrointestinal tumours that is increasingly being used for colonic neoplasms to spare resection of colon in selected patients. Colonic endoscopic submucosal dissection is technically challenging and was initially pioneered in Japan but increasingly used in selected western centres. Its use in Canada is currently limited, and the authors review the challenges and opportunities, in addition to the unique training infrastructure required to practice the procedure under supervision. Specific tools are required to perform endoscopic submucosal dissection and meticulous attention to detail is essential. The authors provide a combined Japanese and Canadian perspective to this technique, and discuss training and performance of endoscopic submucosal dissection as well as potential indications.
authors: Marietta
authors: M
authors: Iacucci
authors: Gregory
authors: G
authors: Eustace
authors: Toshio
authors: T
authors: Uraoka
authors: Yutaka
authors: Y
authors: Saito
authors: Miriam
authors: M
authors: Fort Gasia
authors: Jon
authors: J
authors: Love
authors: Naohisa
authors: N
authors: Yahagi
mesh_terms: D002170:Canada; D002277:Carcinoma / Q000601:surgery*; D003113:Colonoscopy / Q000193:education / Q000295:instrumentation*; D015179:Colorectal Neoplasms / Q000601:surgery*; D004210:Dissection / Q000009:adverse effects / Q000193:education / Q000295:instrumentation*; D005240:Feasibility Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*