Long-Term Outcomes of Using Endoscopic Submucosal Dissection to Treat Early Gastric Cancer.

Author: Toshihiro NISHIZAWA ¹ ; Naohisa YAHAGI
Author Information

1. Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. yahagi.keio@gmail.com
Publication Type:Review
Keywords: Endoscopic submucosal dissection; Long-term outcomes; Early gastric cancer
MeSH: Asian Continental Ancestry Group; Endoscopy; Humans; Incidence; Quality of Life; Stomach; Stomach Neoplasms*
From:Gut and Liver 2018;12(2):119-124
CountryRepublic of Korea
Language:English
Abstract: Endoscopic submucosal dissection (ESD) is becoming the main procedure for the resection of early gastric cancer (EGC). The absolute indications for treating EGC with endoscopic resection were established by the Japanese Gastric Cancer Association and have been generally accepted. However, the absolute indications for treating EGC are rather strict, and expanded indications have been developed. Many studies have reported favorable long-term outcomes for patients who received curative resection for the expanded indication. ESD preserves the stomach, thereby improving patients’ quality of life compared to surgery; however, a generally higher incidence of metachronous gastric cancer has been reported after ESD for EGC. Therefore, clinicians must pay careful attention during surveillance endoscopy, even after a curative ESD.