Colorectal endoscopic submucosal dissection in the United States: Why do we hear so much about it and do so little of it? Douglas K. Rex, MD Gastrointestinal.

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Colorectal endoscopic submucosal dissection in the United States: Why do we hear so much about it and do so little of it? Douglas K. Rex, MD Gastrointestinal Endoscopy Volume 85, Issue 3, Pages 554-558 (March 2017) DOI: 10.1016/j.gie.2016.09.015 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A general outline of the differences in management of lateral spreading tumors with piecemeal (endoscopic mucosal resection) versus en bloc resection, whether performed by endoscopic submucosal dissection (ESD) or by EMR. Actual decisions can depend on other factors not depicted here, including patient life expectancy and comorbidities, patient preferences, and pathologic factors such as degree of differentiation, lymphatic invasion, and tumor budding. Gastrointestinal Endoscopy 2017 85, 554-558DOI: (10.1016/j.gie.2016.09.015) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions