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Review
. 2014 Apr;24(2):213-33.
doi: 10.1016/j.giec.2013.11.009. Epub 2014 Jan 28.

Gastric ESD: current status and future directions of devices and training

Takuji Gotoda  1 , Khek-Yu Ho  2 , Roy Soetikno  3 , Tonya Kaltenbach  3 , Peter Draganov  4
Affiliations
Review

Gastric ESD: current status and future directions of devices and training

Takuji Gotoda et al. Gastrointest Endosc Clin N Am. 2014 Apr.

Abstract

Endoscopic mucosal resection (EMR) of early gastric cancer, which has been proved to be safe and effective and is the established standard of care in Japan, has become increasingly established worldwide in the past decade. Endoscopic submucosal dissection (ESD) is superior to EMR, as it is designed to provide precise pathologic staging and long-term curative therapy based on an en bloc R0 specimen irrespective of the size and/or location of the tumor. However, ESD requires highly skilled and experienced endoscopists. The introduction of ESD to the Western world necessitates collaborations between Eastern and Western endoscopists, pathologists, and surgeons.

Keywords: Early gastric cancer; Endoscopic mucosal resection; Endoscopic submucosal dissection; Lymph node metastasis; Pathologic staging.

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