Preventing Complications at Endoscopic Submucosal Dissection for Colorectal Neoplasia

Endoscopic submucosal dissection (ESD) is efficient for en bloc resection of large colorectal tumors. The main complications during ESD comprise perforation and bleeding. For the standardization of ESD, it is most important to prevent these complications. Adopting a safe strategy of ESD, the use of hyaluronic acid for injection solution, and a suitable choice of knife are efficient in the prevention of perforation and bleeding. In this article, the authors describe a safe procedure of ESD to prevent complications, especially perforation and bleeding. This article is part of an expert video encyclopedia.