CHICAGO—For managing colorectal lesions not sufficiently treated with a first attempt, endoscopic submucosal dissection achieved high rates of en bloc and R0 resection with low rates of local recurrence and perforation in a largely North American patient population.
“Salvage ESD is highly effective for the treatment of previously attempted colorectal lesions (PACL),” said Suchapa Arayakarnkul, MD, a post-doctoral research fellow at the Johns Hopkins Hospital, in Baltimore. “When ESD is performed by experts, adverse events are uncommon and most can be managed endoscopically. The results of our study support the role of ESD for PACL in the Western setting.”