Endoscopy 2017; 49(01): 80-82
DOI: 10.1055/s-0042-118451
Evidence in perspective
© Georg Thieme Verlag KG Stuttgart · New York

The need for surgery after endoscopic treatment of colorectal neoplasms is the most important outcome criterion

Peter Rolny
Division of Gastroenterology and Hepatology, Sahlgrenska University hospital – Östra, Goteborg, Sweden
› Author Affiliations
Further Information

Publication History

submitted26 April 2016

accepted after revision08 September 2016

Publication Date:
02 November 2016 (online)

Abstract

Endoscopic submucosal dissection (ESD) is known to provide superior results in terms of en bloc and/or R0 resection compared with endoscopic mucosal resection. Therefore, ESD is also expected to provide superior clinical outcomes in terms of the need for supplementary surgery after endoscopic treatment. However, whether or not the clinical gain to the patient is sufficiently large to justify the cost and risk of ESD remains to be further evaluated.

 
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