Endoscopic Submucosal Dissection of Early Gastric Cancer.
- Author:
Ki Joo KANG
1
;
Kyoung Mee KIM
;
Byung Hoon MIN
;
Jun Haeng LEE
;
Jae J KIM
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jjkim@skku.edu
- Publication Type:Review
- Keywords:
Early gastric cancer;
Endoscopic submucosal dissection
- MeSH:
Adult;
Endoscopy;
Humans;
Lymph Nodes;
Mass Screening;
Neoplasm Metastasis;
Stomach Neoplasms
- From:Gut and Liver
2011;5(4):418-426
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastric cancer is the most common cancer worldwide. The proportion of early gastric cancer (EGC) cases at diagnosis has increased because of the use of mass screening endoscopy in older adults. Endoscopic mucosal resection has become the standard treatment for EGC in cases with standard indications because of its low risk of lymph node metastasis. A new endoscopic method, endoscopic submucosal dissection, has recently become available. This method allows en bloc resection without limitation of the size of the lesion. The goal of this article is to review the history and methods of endoscopic treatment with EGC, the conventional and extended indications, the therapeutic outcomes, and the complication rates.