Endoscopic Submucosal Dissection of Early Gastric Cancer: Yes, We Need to Calculate Procedure Times!
نویسنده
چکیده
t i i fi e t s s t I i The incidence of gastric cancer has steadily declined over many decades, yet it remains worldwide one of the most common malignancies.1 Most gastric cancers arise as a result of lifelong colonization with Helicobacter pylori, inducing chronic active gastritis. An abundancy of research over the past 20 years has yielded endoscopic and non-invasive methods to recognise both this infection as well the various stages of the cascade leading from chronic gastritis via atrophic gastritis, intestinal metaplasia and dysplasia to early and advanced gastric cancer. This research has led to the common identification of patients with dysplasia and early cancer of the stomach, a development which likely will be further enhanced by the recent introduction of a guideline for surveillance of patients with intestinal metaplasia and dysplasia of the stomach, in particular when present in both antrum and body.2 Endoscopic resection has become the treatment of choice for early gastric cancer (EGC) with endoscopic submucosal dissection (ESD) being superior compared to endoscopic mucosal resection (EMR) when it comes to curative, en bloc resection rates and overall recurrence-free rates.3 Endoscopic submucosal dissection (ESD) was originally developed in Japan for the local treatment of superficial EGC limited to the mucosal layer or with a minimal invasion of the submucosal layer. The main goal of submucosal dissection is
منابع مشابه
Diagnosis and endoscopic resection of early gastric cancer.
The overall prognosis of gastric cancer is generally poor due to late presentation and diagnosis. When detected early, the prognosis for gastric cancer is excellent, and curative endoscopic resection may be possible, without the need for surgery. Careful endoscopic examination is important so as to avoid missed lesions. Endoscopic resection, especially with the technique of endoscopic submucosa...
متن کاملClinical Impact of Endoscopic Submucosal Dissection for Early Gastric Cancer
Aim: The aim of this study was to examine the safety and efficacy of endoscopic submucosal dissection (ESD) for early gastric cancer based on approximately 10 years’ experience. Methods: Endoscopic submucosal dissection was performed in 1272 patients with early gastric cancer (1657 lesions). We examined en bloc resection rate, curative resection rate, local recurrence rate, procedure time, and ...
متن کاملEndoscopic Submucosal Dissection for Early Gastric Cancer
The field of endoscopy has progressed markedly and become widespread in recent years, and the role of minimally invasive endoscopic treatment has become increasingly more important with the increase in the number of patients in whom gastric cancer is detected at an early stage. In addition, the characteristics of early gastric cancer, which can be curably treated by mucosal resection alone just...
متن کاملEndoscopic submucosal dissection (ESD) is being accepted as a new procedure of endoscopic treatment of early gastric cancer.
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Is Endoscopic Submucosal Dissection the Option for Early Gastric Cancer Patients with Contraindication to Surgery?
Surgical therapy is the traditional approach for early gastric cancer. Patients with comorbidities cannot benefit from this treatment because of high surgical morbidities and mortalities. Endoscopic submucosal dissection is a new technique for complete en bloc resection of early gastric cancer. We report the case of a patient with severe cardiomyopathy who developed early gastric cancer without...
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