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Endoscopic Submucosal Dissection of Early Gastric Cancer

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초록

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.

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.

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관련 논문AI추천

A Recent Argument for the Use of Endoscopic Submucosal Dissection for Early Gastric CancersAtsushi Masamune, Takuji Gotoda, Tomoyuki Koike, Waku Hatta거트앤리버 소화기연관학회협의회 · Gut and Liver2020 · 제14권 제4호Long-Term Outcomes of Using Endoscopic Submucosal Dissection to Treat Early Gastric CancerNaohisa Yahagi, Toshihiro Nishizawa거트앤리버 소화기연관학회협의회 · Gut and Liver2018 · 제12권 제2호Long-Term Outcome of Extended Endoscopic Submucosal Dissection for Early Gastric Cancer with Differentiated Histology안지영, 정훤영대한소화기내시경학회 · Clinical Endoscopy2013 · 제46권 제5호Long-Term Efficacy of Endoscopic Submucosal Dissection Compared with Surgery for Early Gastric Cancer: A Retrospective Cohort Study고봉민, 김대용, 김희경, 이문성, 이윤나, 정귀애, 조규석, 한재필, 홍수진거트앤리버 소화기연관학회협의회 · Gut and Liver2014 · 제8권 제5호Comparison of Endoscopic Submucosal Dissection and Surgery for Diff erentiated Type Early Gastric Cancer within the Expanded Criteria신동우, 전성우, 황희영대한소화기내시경학회 · Clinical Endoscopy2017 · 제50권 제2호Short-Term Outcomes of Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer: A Prospective Multicenter Cohort Study김광하, 김상균, 김재준, 박선자, 이준행, 임철현, 전훈재, Hwoon-Yong Jung, Il Ju Choi, Ji Hye You, Ji Hyun Kim, Jin-Won Kwon, Ji Young Kim, Joo Young Cho, Na Rae Lee, Sang-Yong Seol, Seung-Hee Park, Wan Sik Lee, Yong Chan Lee거트앤리버 소화기연관학회협의회 · Gut and Liver2016 · 제10권 제5호

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