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Review
. 2018 Mar 15;12(2):119-124.
doi: 10.5009/gnl17095.

Long-Term Outcomes of Using Endoscopic Submucosal Dissection to Treat Early Gastric Cancer

Toshihiro Nishizawa  1   2 , Naohisa Yahagi  1
Affiliations
Review

Long-Term Outcomes of Using Endoscopic Submucosal Dissection to Treat Early Gastric Cancer

Toshihiro Nishizawa et al. Gut Liver. .

Abstract

Endoscopic submucosal dissection (ESD) is becoming the main procedure for the resection of early gastric cancer (EGC). The absolute indications for treating EGC with endoscopic resection were established by the Japanese Gastric Cancer Association and have been generally accepted. However, the absolute indications for treating EGC are rather strict, and expanded indications have been developed. Many studies have reported favorable long-term outcomes for patients who received curative resection for the expanded indication. ESD preserves the stomach, thereby improving patients' quality of life compared to surgery; however, a generally higher incidence of metachronous gastric cancer has been reported after ESD for EGC. Therefore, clinicians must pay careful attention during surveillance endoscopy, even after a curative ESD.

Keywords: Early gastric cancer; Endoscopic submucosal dissection; Long-term outcomes.

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Conflict of interest statement

CONFLICTS OF INTEREST

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Absolute indications of early gastric cancer. (A) Early gastric cancer, 0-IIc, 19 mm at the antrum. (B) Chromoendoscopy with indigo carmine and acetic acid. (C) Differentiated mucosal adenocarcinoma (H&E stain, ×40).
See this image and copyright information in PMC

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