Clin Endosc.  2012 Sep;45(3):288-289.

Current Status of Colorectal Endoscopic Submucosal Dissection in Korea

• Chang DK

Abstract

Colorectal endoscopic submucosal dissection (ESD) is not yet fully popularized in Korea, but is increasing steadily. The outcomes of colorectal ESD in Korea are comparable to those in Japan and other countries. ESD-related complication rates are decreasing as experiences accumulate. Particularly for rectal laterally spreading tumors, ESD is becoming more prevalent than transanal endoscopic microsurgery. Standard indication, qualified training system, and full medical insurance coverage should be established for the procedure to become popular in the long run.

Keyword

Colonic neoplasms; Endoscopy; Insurance, health, reimbursement

MeSH Terms

Colonic Neoplasms
Endoscopy
Insurance Coverage
Insurance, Health, Reimbursement
Japan
Korea
Microsurgery

Reference

1. Kim ES, Cho KB, Park KS, et al. Factors predictive of perforation during endoscopic submucosal dissection for the treatment of colorectal tumors. Endoscopy. 2011; 43:573–578. PMID: 21448852.

2. Lee EJ, Lee JB, Choi YS, et al. Clinical risk factors for perforation during endoscopic submucosal dissection (ESD) for large-sized, nonpedunculated colorectal tumors. Surg Endosc. 2012; 26:1587–1594. PMID: 22179462.

3. Park SU, Min YW, Shin JU, et al. Endoscopic submucosal dissection and transanal endoscopic microsurgery for nonpolypoid rectal carcinoma in situ and submucosa-invading cancer. Endoscopy. Forthcoming 2012.