Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 May;27(4):417-434.
doi: 10.1111/den.12456. Epub 2015 Mar 5.

JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

Shinji Tanaka  1   2 , Hiroshi Kashida  1 , Yutaka Saito  1 , Naohisa Yahagi  1 , Hiroo Yamano  1 , Shoichi Saito  1 , Takashi Hisabe  1 , Takashi Yao  2 , Masahiko Watanabe  2   3 , Masahiro Yoshida  4 , Shin-Ei Kudo  1 , Osamu Tsuruta  1 , Ken-Ichi Sugihara  2 , Toshiaki Watanabe  2 , Yusuke Saitoh  1 , Masahiro Igarashi  1 , Takashi Toyonaga  1 , Yoichi Ajioka  2 , Masao Ichinose  1 , Toshiyuki Matsui  1   3 , Akira Sugita  3 , Kentaro Sugano  4 , Kazuma Fujimoto  1 , Hisao Tajiri  1
Affiliations

JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection

Shinji Tanaka et al. Dig Endosc. 2015 May.

Abstract

Colorectal endoscopic submucosal dissection (ESD) has become common in recent years. Suitable lesions for endoscopic treatment include not only early colorectal carcinomas but also many types of precarcinomatous adenomas. It is important to establish practical guidelines in which the preoperative diagnosis of colorectal neoplasia and the selection of endoscopic treatment procedures are properly outlined, and to ensure that the actual endoscopic treatment is useful and safe in general hospitals when carried out in accordance with the guidelines. In cooperation with the Japanese Society for Cancer of the Colon and Rectum, the Japanese Society of Coloproctology, and the Japanese Society of Gastroenterology, the Japan Gastroenterological Endoscopy Society has recently compiled a set of colorectal ESD/endoscopic mucosal resection (EMR) guidelines using evidence-based methods. The guidelines focus on the diagnostic and therapeutic strategies and caveat before, during, and after ESD/EMR and, in this regard, exclude the specific procedures, types and proper use of instruments, devices, and drugs. Although eight areas, ranging from indication to pathology, were originally planned for inclusion in these guidelines, evidence was scarce in each area. Therefore, grades of recommendation were determined largely through expert consensus in these areas.

Keywords: colorectal tumor; early colorectal carcinoma; endoscopic mucosal resection (EMR); endoscopic submucosal dissection (ESD); guidelines.

PubMed Disclaimer

References

    1. Clinical Practice Guidelines: Directions for a New Program. Institute of Medicine (US) Committee to Advise the Public Health Service on Clinical Practice Guidelines; Field MJ, Lohr KN editors. Washington (DC): National Academy Press (US); 1990
    1. Fujimoto K, Fujishiro M, Kato M et al. Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment. Dig. Endosc. 2014; 26: 1-14.
    1. Saitoh Y, Taruishi M, Fujiya M et al. Lymph node/distant metastasis and prognosis of colorectal SM carcinomas. Fron. Colorectal Cancer 2008; 1: 133-137. (in Japanese.)
    1. Watanabe T, Itabashi M, Shimada Y et al. Japanese Society for Cancer of the Colon and Rectum. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2010 for the treatment of colorectal cancer. Int. J. Clin. Oncol. 2012; 17: 1-29.
    1. Japanese Society for Cancer of the Colon and Rectum: Multi-Institutional Registry of Large Bowel Cancer in Japan, cases treated in 1995-1998, vol. 17 (1999), vol. 18 (2000), vol. 21 (2001), vol. 24 (2003).

LinkOut - more resources