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
Editorial
. 2023 Nov;56(6):738-740.
doi: 10.5946/ce.2023.195. Epub 2023 Nov 1.

Understanding hybrid endoscopic submucosal dissection subtleties

Affiliations
Editorial

Understanding hybrid endoscopic submucosal dissection subtleties

João Paulo de Souza Pontual et al. Clin Endosc. 2023 Nov.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest

Diogo Turiani Hourneaux de Moura is currently serving as an associate editor in Clinical Endoscopy; however, he was not involved in the peer reviewer selection, evaluation, or decision process for this article. The authors have no potential conflicts of interest.

Figures

Fig. 1.
Fig. 1.
Standard and hybrid endoscopic submucosal dissection (ESD) techniques. EMR, endoscopic mucosal resection.
Fig. 2.
Fig. 2.
Standard hybrid endoscopic submucosal dissection. (A) A large laterally spreading tumor–granular type with a bulky nodule in the low­er rectum. (B) Demarcation and circumferential mucosal incision of the lesion. (C, D) Partial submucosal dissection. (E) Snare resection. (F) A resected lesion. (G, H). Resection bed after the procedure. (I) Mucosal closure was performed with endoscopic su­turing.
Fig. 3.
Fig. 3.
Rescue hybrid endoscopic submucosal dissection. (A) A large laterally spreading tumor–granular type with a bulky nodule in the proximal transverse colon. (B, C) Perforation during mucosal incision. (D) Immediate closure with endoscopic clipping. (E, F) Piecemeal snare resection. (G, H) Resection bed after the procedure. (I) Mucosal closure was performed with endoscopic suturing.

Comment on

References

    1. Yahagi N. Development of colorectal endoscopic submucosal dissection. Dig Endosc. 2022;34 Suppl 2:95–98. - PubMed
    1. Gotoda T, Kondo H, Ono H, et al. A new endoscopic mucosal resection procedure using an insulation-tipped electrosurgical knife for rectal flat lesions: report of two cases. Gastrointest Endosc. 1999;50:560–563. - PubMed
    1. Ko BM. History and development of accessories for endoscopic submucosal dissection. Clin Endosc. 2017;50:219–223. - PMC - PubMed
    1. Sagae VM, Ribeiro IB, de Moura DT, et al. Endoscopic submucosal dissection versus transanal endoscopic surgery for the treatment of early rectal tumor: a systematic review and meta-analysis. Surg Endosc. 2020;34:1025–1034. - PubMed
    1. Turiani Hourneaux de Moura D, Aihara H, Jirapinyo P, et al. Robot-assisted endoscopic submucosal dissection versus conventional ESD for colorectal lesions: outcomes of a randomized pilot study in endoscopists without prior ESD experience (with video) Gastrointest Endosc. 2019;90:290–298. - PubMed

LinkOut - more resources