Efficacy of hybrid endoscopic submucosal dissection (ESD) as a rescue treatment in difficult colorectal ESD cases

• DOI: 10.1111/den.12863
• Publication Date: 2017-04-20T10:08:53Z
• Authors: Koichi Okamoto; Naoki Muguruma; Kaizo Kagemoto; Yasuhiro Mitsui; Daisaku Fujimoto; Shinji Kitamura; Tetsuo Kimura; Masahiro Sogabe; Hiroshi Miyamoto; Tetsuji Takayama
• Keywords: Endoscopic submucosal dissection; Perforation; Endoscopic mucosal resection

Endoscopic submucosal dissection (ESD), which provides a higher en bloc resection rate than conventional endoscopic mucosal (EMR), is considered to be useful treatment option for large colorectal tumors. However, ESD not widely used because of its technical difficulty, risk complications and time required. To overcome these drawbacks, simpler modified technique, with snaring (hybrid ESD), has been developed. The aim the present study was retrospectively compare safety efficacy hybrid tumors.Between September 2008 June 2016, carried out on 137 lesions 27 lesions. All cases were as rescue in difficult cases. We investigated procedure time, rates resection, perforation, bleeding, local recurrence.In group, shorter compared group (108 ± 59.5 min vs 122 72.2 min), but lower (66.7% 94.2%). there no significant differences or perforation bleeding between two groups. Local recurrence did develop any our cases.Hybrid may less effective Indication limited scheduled from outset emergency patients who unstable vital signs during ESD.