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Table of Contents
Intro
Foreword
Foreword
Contents
1: Overview
References
2: Indication for Endoscopic Resection of Early GI Cancers: Esophagus
References
3: Indications for Endoscopic Resection of Early Gastric Cancer
3.1 Introduction
3.2 Theoretical Indications
3.3 Technical Indications
3.4 Diagnostic Process for Determining Treatment Indications
3.4.1 Depth of Tumor Invasion
3.4.2 Identification of Tumor Extent
3.4.3 Diagnosis of Tumor Differentiation
3.5 From Diagnosis to Treatment
References
4: Indication for Endoscopic Resection of Early GI Cancers: Colon
4.1 Introduction
4.2 Therapy Principle: Which Kind of Patients Could Be Sent for Resection Endoscopically or Surgically?
4.3 Endoscopic Resection Principle: How to Choose a Endoscopic Resection Technique?
4.3.1 Pedunculated-Type Tumors: HSP or EMR
4.3.2 Non-pedunculated Colorectal Tumors
4.3.2.1 Diminutive and Small Polyps (<10 mm): Cold Polypectomy
4.3.2.2 Laterally Spreading Tumors (≥10 mm): Hot Polypectomy or Advanced Technique
4.4 Conclusions
References
5: EMR for Esophagus
5.1 Introduction
5.2 Indications
5.3 Methods and Techniques
5.3.1 Anesthesia and Sedation
5.3.2 Marking
5.3.3 Injection
5.3.4 Tissue Grasping
5.3.4.1 Two-Channel EMR
5.3.4.2 Cap-Fitted Endoscopic Mucosal Resection
5.3.5 Tissue Resection
5.3.6 After Resection
References
6: Endoscopic Mucosal Resection for Gastric Neoplasia
6.1 Background
6.2 Development of EMR
6.3 Indications/Contraindications
6.4 Efficacy
6.5 Complications
6.6 Conclusions
References
7: Endoscopic Mucosal Resection: EMR for the Colon
7.1 Introduction
7.2 Instruments, Devices, and Materials for EMR
7.2.1 Preparation
7.2.2 Selection of Submucosal Injection Fluid
7.2.3 Selection of Snare
7.2.4 Electrosurgical Generator Unit
7.3 Resection Techniques
7.4 Management of the Specimen
7.5 Post-procedural Care
7.6 Surveillance and Treatment of Residual Neoplasms
7.7 What Lesions Should Not Be Treated with EMR?
7.8 Summary
References
8: History, Instruments, and Preparation for ESD
8.1 History
8.2 Instruments
8.2.1 Knives
8.2.1.1 Straight-tip Needle Knife Type
8.2.1.2 Bended-tip Needle Knife Type
8.2.1.3 Blunt-tip Type
8.2.1.4 Scissor Type
8.2.2 Electrosurgical Unit
8.2.3 Endoscopes for ESD
8.2.4 Submucosal Fluid Cushion
8.2.5 Hemostatic Forceps
8.2.6 Assisting Devices and Methods
8.2.6.1 Traction Devices and Accessories
8.2.6.2 Transparent Hoods
8.2.6.3 Carbon Dioxide Insufflation
8.3 Preparation
8.3.1 Pre-procedure
8.3.2 Intra-procedure
8.3.3 Post-procedure
References
9: ESD for the Esophagus
9.1 Introduction
9.2 Indication
9.3 ESD Procedure
9.3.1 Preparation
Foreword
Foreword
Contents
1: Overview
References
2: Indication for Endoscopic Resection of Early GI Cancers: Esophagus
References
3: Indications for Endoscopic Resection of Early Gastric Cancer
3.1 Introduction
3.2 Theoretical Indications
3.3 Technical Indications
3.4 Diagnostic Process for Determining Treatment Indications
3.4.1 Depth of Tumor Invasion
3.4.2 Identification of Tumor Extent
3.4.3 Diagnosis of Tumor Differentiation
3.5 From Diagnosis to Treatment
References
4: Indication for Endoscopic Resection of Early GI Cancers: Colon
4.1 Introduction
4.2 Therapy Principle: Which Kind of Patients Could Be Sent for Resection Endoscopically or Surgically?
4.3 Endoscopic Resection Principle: How to Choose a Endoscopic Resection Technique?
4.3.1 Pedunculated-Type Tumors: HSP or EMR
4.3.2 Non-pedunculated Colorectal Tumors
4.3.2.1 Diminutive and Small Polyps (<10 mm): Cold Polypectomy
4.3.2.2 Laterally Spreading Tumors (≥10 mm): Hot Polypectomy or Advanced Technique
4.4 Conclusions
References
5: EMR for Esophagus
5.1 Introduction
5.2 Indications
5.3 Methods and Techniques
5.3.1 Anesthesia and Sedation
5.3.2 Marking
5.3.3 Injection
5.3.4 Tissue Grasping
5.3.4.1 Two-Channel EMR
5.3.4.2 Cap-Fitted Endoscopic Mucosal Resection
5.3.5 Tissue Resection
5.3.6 After Resection
References
6: Endoscopic Mucosal Resection for Gastric Neoplasia
6.1 Background
6.2 Development of EMR
6.3 Indications/Contraindications
6.4 Efficacy
6.5 Complications
6.6 Conclusions
References
7: Endoscopic Mucosal Resection: EMR for the Colon
7.1 Introduction
7.2 Instruments, Devices, and Materials for EMR
7.2.1 Preparation
7.2.2 Selection of Submucosal Injection Fluid
7.2.3 Selection of Snare
7.2.4 Electrosurgical Generator Unit
7.3 Resection Techniques
7.4 Management of the Specimen
7.5 Post-procedural Care
7.6 Surveillance and Treatment of Residual Neoplasms
7.7 What Lesions Should Not Be Treated with EMR?
7.8 Summary
References
8: History, Instruments, and Preparation for ESD
8.1 History
8.2 Instruments
8.2.1 Knives
8.2.1.1 Straight-tip Needle Knife Type
8.2.1.2 Bended-tip Needle Knife Type
8.2.1.3 Blunt-tip Type
8.2.1.4 Scissor Type
8.2.2 Electrosurgical Unit
8.2.3 Endoscopes for ESD
8.2.4 Submucosal Fluid Cushion
8.2.5 Hemostatic Forceps
8.2.6 Assisting Devices and Methods
8.2.6.1 Traction Devices and Accessories
8.2.6.2 Transparent Hoods
8.2.6.3 Carbon Dioxide Insufflation
8.3 Preparation
8.3.1 Pre-procedure
8.3.2 Intra-procedure
8.3.3 Post-procedure
References
9: ESD for the Esophagus
9.1 Introduction
9.2 Indication
9.3 ESD Procedure
9.3.1 Preparation