Endoscopic Resection for Early Gastric Cancer beyond Absolute Indication with Emphasis on Controversial Issues.
- Author:
Yang Won MIN
1
;
Jun Haeng LEE
Author Information
- Publication Type:Review
- Keywords: Stomach neoplasm; Endoscopic gastrointestinal surgical procedures
- MeSH: Diagnosis; Endoscopy, Gastrointestinal; Humans; Japan; Korea; Lymph Nodes; Neoplasm Metastasis; Stomach Neoplasms*
- From:Journal of Gastric Cancer 2014;14(1):7-14
- CountryRepublic of Korea
- Language:English
- Abstract: Endoscopic resection is the established treatment for early gastric cancer in selected patients with negligible risk of lymph node metastasis ('absolute indication'). Based on clinical observations and large pathological databases, expanding indications for endoscopic resection beyond absolute indication has been tried in Japan and Korea. However, controversies exist regarding the safety of treating early gastric cancer beyond absolute indication in terms of pathological evaluation of the resected specimen, definition of expanded indication, discrepancy between pre-endoscopic resection and post-endoscopic resection diagnoses of gastric neoplasm, and the best strategy for cases with non-curative resection. In this brief review, current evidence and clinical experience regarding issues of endoscopic resection beyond absolute indication will be summarized.
