Predicting and managing complications following colonoscopy: risk factors and management of advanced interventional endoscopy with a focus on colorectal ESD

Hiroyuki Takamaru; Rina Goto; Masayoshi Yamada; Taku Sakamoto; Takahisa Matsuda; Yutaka Saito

doi:10.1080/17434440.2020.1819788

Predicting and managing complications following colonoscopy: risk factors and management of advanced interventional endoscopy with a focus on colorectal ESD

Expert Rev Med Devices. 2020 Sep;17(9):929-936. doi: 10.1080/17434440.2020.1819788. Epub 2020 Sep 16.

Authors

Hiroyuki Takamaru¹, Rina Goto^{1

2}, Masayoshi Yamada¹, Taku Sakamoto¹, Takahisa Matsuda^{1

3}, Yutaka Saito¹

Affiliations

¹ Endoscopy Division, National Cancer Center Hospital , Tokyo, Japan.
² Department of Internal Medicine, The Medical City , Pasig, Philippines.
³ Screening Center, National Cancer Center Hospital , Tokyo, Japan.

PMID: 32901531
DOI: 10.1080/17434440.2020.1819788

Abstract

Introduction: Colorectal endoscopic submucosal dissection (ESD) has been introduced widely in Western and Asian countries. The management of the perforation during ESD is crucial.

Areas covered: The rate of intraprocedural perforation, risk factors, prevention, and management of perforation during ESD and EMR were discussed in this review. The perforation rate in ESD and EMR depending on the lesion size is also discussed.

Expert opinion: The knowledge regarding the risk factor and techniques to manage perforation is important during colorectal ESD and EMR. The development of novel suturing techniques devices is key for colorectal ESD in the future.

Keywords: EMR; Risk factor; clipping closure; colorectal ESD; perforation.

Publication types

Review

MeSH terms

Colonoscopy / adverse effects*
Colorectal Neoplasms / pathology
Colorectal Neoplasms / surgery*
Endoscopic Mucosal Resection*
Humans
Postoperative Complications / diagnosis*
Postoperative Complications / etiology*
Postoperative Complications / prevention & control
Risk Factors
Treatment Outcome