Since the advent of Peroral Endoscopic Myotomy (POEMS), tunneling technique has become
a popular way of performing ESD.
After initial distal dissection, proximal end of the lesion is approached,creating
a submucosal tunnel. The tunnel wall is then collapsed to remove the lesion. Data
from a tertiary referral centre is depicted in [Table 1], demonstrating tunneling technique is a safe, effective and efficient way to perform
ESD, specially in Western settings.
Tab. 1
|
Average size (cm square)
|
Mean duration (min)
|
En- bloc resection
|
Complications
|
|
Oesophageal (N = 15)
|
17
|
99
|
100%
|
Bleeding- 0
|
Perforation- 0
|
|
Colorectal (N = 9)
|
36
|
221
|
100%
|
Bleeding- 0
|
Perforation- 0
|
