Endoscopic submucosal dissection for stomach neoplasms.

Abstract:

:Recent advances in techniques of therapeutic endoscopy for stomach neoplasms are rapidly achieved. One of the major topics in this field is endoscopic submucosal dissection (ESD). ESD is a new endoscopic technique using cutting devices to remove the tumor by the following three steps: injecting fluid into the submucosa to elevate the tumor from the muscle layer, pre-cutting the surrounding mucosa of the tumor, and dissecting the connective tissue of the submucosa beneath the tumor. So the tumors are resectable in an en bloc fashion, regardless of the size, shape, coexisting ulcer, and location. Indication for ESD is strictly confined by two aspects: the possibility of nodal metastases and technical difficulty, which depends on the operators. Although long-term outcome data are still lacking, short-term outcomes of ESD are extremely favourable and laparotomy with gastrectomy is replaced with ESD in some parts of therapeutic strategy for early gastric cancer.

journal_name

World J Gastroenterol

authors

Fujishiro M

doi

10.3748/wjg.v12.i32.5108

subject

Has Abstract

pub_date

2006-08-28 00:00:00

pages

5108-12

issue

32

eissn

1007-9327

issn

2219-2840

journal_volume

12

pub_type

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