Concept of ESD and its current status in Japan

Research output: Contribution to journalArticlepeer-review


Endoscopic submucosal dissection (ESD) was developed in Japan for the en-bloc resection of early gastric cancer. Main advantages of ESD are the possibility of a histo-pathological evaluation of the entire specimen as well as a lower local -recurrence rate compared to piecemeal resec-tion. The article summarizes the concept of ESD and gives the an overview of the indications accept-ed for local treatment of early GI cancers. Technical problems resulting form difficult loca-tions of the lesion are discussed as well as the technical prerequisites and the qualification of the endoscopist. The different steps of the pro-cedure are illustrated on the basis of a gastric ESD.

Original languageEnglish
Pages (from-to)34-37
Number of pages4
JournalEndoskopie Heute
Issue number1
Publication statusPublished - 2010
Externally publishedYes


  • EMR
  • ESD
  • IT knife
  • dual knife
  • en-bloc resection
  • endoscopic resection
  • endoscopic training
  • hook knife
  • piecemeal resection
  • technical aspects

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology


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