Is there a best choice of equipment for colorectal endoscopic submucosal dissection?

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-04 DOI:10.1080/17434440.2024.2364022
Francesco Cocomazzi, Sonia Carparelli, Nunzia Labarile, Antonio Capogreco, Marco Gentile, Roberta Maselli, Jahnvi Dhar, Jayanta Samanta, Alessandro Repici, Cesare Hassan, Francesco Perri, Antonio Facciorusso
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Abstract

Introduction: Endoscopic submucosal dissection (ESD) is a widely used technique to remove early neoplastic lesions. It was primarily used in the initial days to treat gastric lesions, but recently, the horizon of this endoscopic procedure has expanded, which has allowed us to manage other technically more complex locations, such as the colorectum.

Areas covered: There has been an exponential growth regarding the wide range of devices available in the market for performing colorectal ESD. As a result, the aim of this review is to highlight the indication of this endoscopic technique, which device is best suited for which indication, as well as future trajectories in this field.

Expert opinion: Although some devices have proven to be more advantageous than others in this area, very often the choice is still subjective, which is commonly attributed to individual preferences and experience. However, an accurate knowledge of the available tools and their functioning, with their pros and cons, is fundamental for any endoscopist venturing into the field of third space endoscopy. In this way, one can choose which device best suits a particular situation, along with simultaneously having the wealth of knowledge related to therapeutic armamentarium at our disposal in the endoscopy suite.

结直肠内镜黏膜下剥离术有最佳设备选择吗?
简介内镜黏膜下剥离术(ESD)是一种广泛用于切除早期肿瘤病灶的技术。最初,它主要用于治疗胃部病变,但最近,这种内窥镜手术的范围不断扩大,使我们能够治疗其他技术上更复杂的部位,如结肠直肠:市场上用于结肠直肠ESD的设备种类繁多,呈指数级增长。因此,本综述旨在强调这种内窥镜技术的适应症、哪种设备最适合哪种适应症以及该领域的未来发展方向:专家意见:尽管在这一领域,一些设备已被证明比其他设备更有优势,但很多时候,选择仍然是主观的,这通常归因于个人喜好和经验。不过,准确了解现有工具及其功能和优缺点,对于任何涉足第三空间内窥镜检查领域的内镜医师来说都是至关重要的。这样,我们就能选择最适合特定情况的设备,同时还能在内窥镜室中掌握与治疗设备相关的丰富知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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