Endoscopic Management of Colorectal T1(SM) Carcinoma

Prof. Shinji Tanaka, Endoscopy and Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University Prof. Yusuke Saito, Vice President and Director of Digestive Disease Center, Asahikawa City Hospital

Part1: Endoscopic diagnosis for colorectal T1(SM) carcinoma.- 1.Conventional colonoscopy including indigocarmine dye spray.- 2.Magnifying endoscopy - pit pattern diagnosis.- 3.Magnifying endoscopy - image-enhanced endoscopy focused on JNET classification - Narrow band imaging (NBI).- 4.Magnifying endoscopy-image-enhanced endoscopy focused on JNET classification- Blue laser imaging (BLI).- 5.Endoscopic ultrasound sonography including high-frequency ultrasound probes .- 6.Endocytoscopy.- Part2: Indication for colorectal EMR/ESD.- 7.Indication for colorectal EMR/ESD from Japanese Guidelines (JGES, JSGE, JSCCR).- Part3: Endoscopic resection for colorectal T1(SM) carcinoma.- 8.Endoscopic mucosal resection (EMR).- 9.Precutting EMR.- 10.ER for T1 colorectal cancer.- 11.Hybrid ESD.- Part4: Pathologic diagnosis of colorectal T1(SM) carcinoma.- 12.Pathological diagnosis of submucosal invasive colorectal carcinoma (pT1 colorectal cancer): Overview of histopathological and molecular markers to predict lymph node metastasis of submucosal invasive colorectal cancer.- Part5: Treatment stratedy after endoscopic resction for colorectal T1(SM) carcinoma.- 13.Treatment strategy after endoscopic resection for colorectal T1(SM) cancer: Present status and future perspective.