Tanya Kirilova

By Krassimir Ivanov, Nikola Kolev, Ivan Shterev, Anton Tonev, Valentin Ignatov, Vasil Bojkov and Tanya Kirilova

Part of the book: Colorectal Cancer

By Anton Tonev, Nikola Kolev, Valentin Ignatov, Vasil Bojkov, Tanya Kirilova and Krassimir Ivanov

Part of the book: Colorectal Cancer

By Nikola Kolev, Valentin Ignatov, Anton Tonev, Tanya Kirilova, Georgi Ivanov, Alexander Zlatarov and Krassimir Ivanov

Part of the book: Colorectal Cancer

By Valentin Ignatov, Nikola Kolev, Anton Tonev, Shteryu Shterev, Elitsa Encheva, Tanya Kirilova, Tsvetelina Teneva and Krassimir Ivanov

Part of the book: Colorectal Cancer

By Valentin Ignatov, Anton Tonev, Nikola Kolev, Aleksandar Zlatarov, Shteryu Shterev, Tanya Kirilova and Krasimir Ivanov

Endoscopic submucosal dissection (ESD) was first implemented in early gastric cancer allowing for en-bloc resection of the lesions. With the experience came the expertise to introduce ESD for early colon cancer (ECC). ESD demonstrates several advantages in comparison with the endoscopic mucosa resection. It allows accurate histological assessment of the depth of invasion, minimizes the risk of local recurrence and helps in the determination of additional therapy. Indications for ESD are placed only after adequate endoscopic morphological classification of the lesions excluding higher risk of nodal metastases. This chapter provides an overview of the application of ESD techniques in ESD for ECC and provides assessment on its technical aspects and complications. In order to decrease the rate of complications a standard protocol for the ESD should be adopted. The protocol includes recommendations for patient selection, bowel and patient preparation, appropriate equipment (knives, endoscopes, and power devices). The chapter will review the current ESD techniques and oncological results. ESD could have great impact on the treatment of early colon cancer. Its role is already proven in rectal localizations and despite the challenges it should be adopted for the colon. Safe strategy for ESD is the cornerstone in decreasing complications, which includes suitable resection of specialized ESD devices.

Part of the book: Colorectal Cancer