Long-term Outcome after Endoscopic Resection for Early Gastric Cancer in Korea.
10.7704/kjhugr.2016.16.1.1
- Author:
Hyuk LEE
1
;
Jun Haeng LEE
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. stomachlee@gmail.com
- Publication Type:Review
- Keywords:
Stomach neoplasms;
Endoscopy, digestive system;
Treatment outcome
- MeSH:
Bias (Epidemiology);
Endoscopy, Digestive System;
Follow-Up Studies;
Korea*;
Neoplasm Metastasis;
Retrospective Studies;
Stomach Neoplasms*;
Survival Rate;
Treatment Outcome
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2016;16(1):1-5
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endoscopic resection is accepted as the standard treatment for early gastric cancer (EGC) without lymph-node metastasis. The indications for endoscopic submucosal dissection (ESD) have been expanded from the standard indications of endoscopic mucosal resection. Recently, clinical data supporting further expansion of ESD have been accumulating. In Korea, recent large scale studies have reported favorable long-term outcomes for EGCs that meet the expanded indications, with 5-year overall survival rates similar to those of EGCs meeting the absolute indication. Additionally, several reports on comparison of long-term outcome after endoscopic resection versus surgical treatment have been published. This review elucidates the feasibility of endoscopic resection for EGC, based on evidence from long-term outcome in Korea. There are still some limitations associated with retrospective analyses and subsequent biased analysis of outcome based on the post-treatment diagnostic groups and problematic follow-up loss.
