Selection of EMR and ESD for Laterally Spreading Lesions of the Colon.

INTRODUCTION: Colonic laterally spreading lesions (LSL) are increasingly managed using endoscopic methods that comprise two main techniques: endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD).

PURPOSE OF REVIEW: In this review, we aimed to review the most recent literature on selection of the best endoscopic technique in the management of colonic LSL.

RECENT FINDINGS: EMR and ESD are complimentary techniques in the management of patients with colonic LSL. EMR is safe and effective in most patients with LSL, except for cancers with submucosal invasion in whom R0 resection is favored.