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Endoscopic therapy for early gastric cancer: Standard techniques and recent advances in ESD

Identifieur interne : 000849 ( Ncbi/Merge ); précédent : 000848; suivant : 000850

Endoscopic therapy for early gastric cancer: Standard techniques and recent advances in ESD

Auteurs : Keiichiro Kume

Source :

RBID : PMC:4047328

Abstract

The technique of endoscopic submucosal dissection (ESD) is now a well-known endoscopic therapy for early gastric cancer. ESD was introduced to resect large specimens of early gastric cancer in a single piece. ESD can provide precision of histologic diagnosis and can also reduce the recurrence rate. However, the drawback of ESD is its technical difficulty, and, consequently, it is associated with a high rate of complications, the need for advanced endoscopic techniques, and a lengthy procedure time. Various advances in the devices and techniques used for ESD have contributed to overcoming these drawbacks.


Url:
DOI: 10.3748/wjg.v20.i21.6425
PubMed: 24914364
PubMed Central: 4047328

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PMC:4047328

Le document en format XML

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<p>The technique of endoscopic submucosal dissection (ESD) is now a well-known endoscopic therapy for early gastric cancer. ESD was introduced to resect large specimens of early gastric cancer in a single piece. ESD can provide precision of histologic diagnosis and can also reduce the recurrence rate. However, the drawback of ESD is its technical difficulty, and, consequently, it is associated with a high rate of complications, the need for advanced endoscopic techniques, and a lengthy procedure time. Various advances in the devices and techniques used for ESD have contributed to overcoming these drawbacks.</p>
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<aff>Keiichiro Kume, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu 807-8555, Japan</aff>
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<fn>
<p>Author contributions: Kume K wrote this review.</p>
<p>Correspondence to: Keiichiro Kume, MD, PhD, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyusyu 807-8555, Japan.
<email>k-kume@med.uoeh-u.ac.jp</email>
</p>
<p>Telephone: +81-93-6031611 Fax: +81-93-6920107</p>
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<abstract>
<p>The technique of endoscopic submucosal dissection (ESD) is now a well-known endoscopic therapy for early gastric cancer. ESD was introduced to resect large specimens of early gastric cancer in a single piece. ESD can provide precision of histologic diagnosis and can also reduce the recurrence rate. However, the drawback of ESD is its technical difficulty, and, consequently, it is associated with a high rate of complications, the need for advanced endoscopic techniques, and a lengthy procedure time. Various advances in the devices and techniques used for ESD have contributed to overcoming these drawbacks.</p>
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