Table 2. Evaluation Methods to Determine Whether Endoscopic Submucosal Dissection Is Indicated.
Question | Answer (%) | |
---|---|---|
Is the use of magnification endoscopy essential to determine whether ESD is indicated? | 1. No (HD level endoscopy is enough) | 27.3 |
2. Rarely (<10%) | 63.6 | |
3. Sometimes (10%–50%) | 0 | |
4. Usually (>50%) | 9.1 | |
5. Almost always (>90%) | 0 | |
Is the use of NBI essential to determine whether ESD is indicated? | 1. No (HD level endoscopy is enough) | 15.4 |
2. Rarely (<10%) | 23.1 | |
3. Sometimes (10%–50%) | 30.8 | |
4. Usually (>50%) | 23.1 | |
5. Almost always (>90%) | 7.7 | |
Is the use of EUS essential to determine whether ESD is indicated? | 1. No (HD level endoscopy is enough) | 23.1 |
2. Rarely (<10%) | 38.5 | |
3. Sometimes (10%–50%) | 38.5 | |
4. Usually (>50%) | 0 | |
5. Almost always (>90%) | 0 | |
Is the use of EUS essential to determine whether ESD is indicated? | 1. Rectal EUS only | 42.9 |
2. Both colon and rectal EUS | 57.1 | |
Practically, which method do you most commonly use to determine whether you try ESD or not? | 1. Gross morphology | 60.0 |
2. Magnifying colonoscopy | 0 | |
3. NBI | 0 | |
4. EUS | 0 | |
5. Nonlifting sign | 40.0 | |
Ideally, what is the most accurate method for evaluating the depth of invasion, in your opinion? | 1. Gross morphology | 23.1 |
2. Magnifying colonoscopy | 30.8 | |
3. NBI | 15.4 | |
4. EUS | 30.8 | |
5. Nonlifting sign | 0 |
ESD, endoscopic submucosal dissection; HD, high definition; NBI, narrow band imaging.