Treatment modalities for early gastric cancer

Different treatment modalities have been proposed in the treatment of early gastric cancer(EGC). Endoscopic resection(ER) is an established treatment that allows curative treatment, in selected cases. In addition, ER allows for an accurate histological staging, which is crucial when deciding on the...

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Published inWorld journal of gastrointestinal endoscopy Vol. 7; no. 12; pp. 1062 - 1069
Main Authors Espinel, Jesús, Pinedo, Eugenia, Ojeda, Vanesa, Del Rio, Maria Guerra
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 10.09.2015
Subjects
cancer;Endoscopic
dissect
Early
gastric
Minireviews
submucosal
Endoscopic mucosal resection
Endoscopic submucosal dissection
Gastrectomy
Early gastric cancer
Pathological staging
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Summary:Different treatment modalities have been proposed in the treatment of early gastric cancer(EGC). Endoscopic resection(ER) is an established treatment that allows curative treatment, in selected cases. In addition, ER allows for an accurate histological staging, which is crucial when deciding on the best treatment option for EGC. Recently, endoscopic mucosal resection(EMR) and endoscopic submucosal dissection(ESD) have become alternatives to surgery in early gastric cancer, mainly in Asian countries. Patients with "standard" criteria can be successfully treated by EMR techniques. Those who meet "expanded" criteria may benefit from treatment by ESD, reducing the need for surgery. Standardized ESD training system is imperative to promulgate effective and safe ESD technique to practices with limited expertise. Although endoscopic resection is an option in patients with EGC, surgical treatment continues to be a widespread therapeutic option worldwide. In this review we tried to point out the treatment modalities for early gastric cancer.
Bibliography:Jesús Espinel;Eugenia Pinedo;Vanesa Ojeda;Maria Guerra del Rio;Department of Digestive Diseases, Hospital Universitario de León;Department of Radiodiagnosis, Hospital Universitario de León;Department of Digestive Diseases, Hospital Universitario Dr.Negrín, Las Palmas de Gran Canaria;Burton Hospitals NHS Foundation Trust, Burton on Trent,Staffordshire DE13 0RB, United Kingdom
Different treatment modalities have been proposed in the treatment of early gastric cancer(EGC). Endoscopic resection(ER) is an established treatment that allows curative treatment, in selected cases. In addition, ER allows for an accurate histological staging, which is crucial when deciding on the best treatment option for EGC. Recently, endoscopic mucosal resection(EMR) and endoscopic submucosal dissection(ESD) have become alternatives to surgery in early gastric cancer, mainly in Asian countries. Patients with "standard" criteria can be successfully treated by EMR techniques. Those who meet "expanded" criteria may benefit from treatment by ESD, reducing the need for surgery. Standardized ESD training system is imperative to promulgate effective and safe ESD technique to practices with limited expertise. Although endoscopic resection is an option in patients with EGC, surgical treatment continues to be a widespread therapeutic option worldwide. In this review we tried to point out the treatment modalities for early gastric cancer.
Early gastric cancer;Endoscopic submucosal dissect
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Correspondence to: Jesús Espinel, MD, Department of Digestive Diseases, Hospital Universitario de León, C/Altos de Nava, s/n, 24071 León, Spain. espinel.jesus@gmail.com
Author contributions: All authors contributed equally to the paper.
Telephone: +34-987-237400 Fax: +34-987-235318
ISSN:1948-5190
1948-5190
DOI:10.4253/wjge.v7.i12.1062