Ever-changing Endoscopic Treatment for Early Gastric Cancer: Yesterday-today-tomorrow
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Endoscopic resection has been an optimal treatment for selected patients with early gastric cancer (EGC) based on advances in endoscopic instruments and techniques. As endoscopic submucosal dissection (ESD) has been widely used for treatment of EGC along with expanding ESD indication, concerns have been asked to achieve curative resection for EGC while guaranteeing precise prediction of lymph node metastasis (LNM). Recently, new techniques including ESD or endoscopic full-thickness resection combined with sentinel node navigation enable minimal tumor resection and a laparoscopic lymphadenectomy in cases of EGC with high risk of LNM. This review covers the development and challenges of endoscopic treatment for EGC. Moreover, a new microscopic imaging and endoscopic techniques for precise endoscopic diagnosis and minimally invasive treatment of EGC are introduced.
Feasibility and Efficacy of Gastric Underwater Endoscopic Mucosal Resection.
Kim D, Park S, Kim J, Kim H Diagnostics (Basel). 2024; 14(5).
PMID: 38473010 PMC: 10931230. DOI: 10.3390/diagnostics14050536.
Lee A, Kim Y, Cho S, Lee T, Seo J, Kim S Surg Endosc. 2024; 38(5):2533-2541.
PMID: 38472530 DOI: 10.1007/s00464-024-10761-7.
Lee A, Kim M, Cho S, Yoo I, Kim Y, Lee T Surg Endosc. 2024; 38(4):2124-2133.
PMID: 38443502 DOI: 10.1007/s00464-024-10722-0.
Hidaka Y, Imai T, Inaba T, Kagawa T, Omae K, Tanaka S PLoS One. 2021; 16(12):e0261703.
PMID: 34941937 PMC: 8699580. DOI: 10.1371/journal.pone.0261703.
Liu J, Xiong Z, Geng X, Cui M Biomed Res Int. 2020; 2020:7196782.
PMID: 33062694 PMC: 7539128. DOI: 10.1155/2020/7196782.