An endoscopic treatment device includes a sheath formed from a resin; a tubular hollow needle inserted into the sheath and having a sharp distal end; a rod formed from a metal and having a conduit; a shaft attached to a proximal end of the rod and having an internal space communicating with the conduit of the rod; and an operation portion including (i) a slider attached to a proximal end of the shaft, and (ii) and a lever attached to a proximal end of the hollow needle.