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Ever-changing endoscopic treatment for early gastric cancer: Yesterday-today-tomorrow
- Authors
- Kim, Mi-Young; Cho, Jun-Hyung; Cho, Joo Young
- Issue Date
- 7-Oct-2014
- Publisher
- Baishideng Publishing Group
- Keywords
- Endoscopic resection; Early gastric cancer; Confocal laser endomicroscopy; Sentinel node navigation; Hybrid natural orifice transluminal endoscopic surgery
- Citation
- World Journal of Gastroenterology, v.20, no.37, pp 13273 - 13283
- Pages
- 11
- Journal Title
- World Journal of Gastroenterology
- Volume
- 20
- Number
- 37
- Start Page
- 13273
- End Page
- 13283
- ISSN
- 1007-9327
2219-2840
- Abstract
- Endoscopic resection has been an optimal treatment for selected patients with early gastric cancer (EGC) based on advances in endoscopic instruments and techniques. As endoscopic submucosal dissection (ESD) has been widely used for treatment of EGC along with expanding ESD indication, concerns have been asked to achieve curative resection for EGC while guaranteeing precise prediction of lymph node metastasis (LNM). Recently, new techniques including ESD or endoscopic full-thickness resection combined with sentinel node navigation enable minimal tumor resection and a laparoscopic lymphadenectomy in cases of EGC with high risk of LNM. This review covers the development and challenges of endoscopic treatment for EGC. Moreover, a new microscopic imaging and endoscopic techniques for precise endoscopic diagnosis and minimally invasive treatment of EGC are introduced. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
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Related Researcher
- Cho, JUN HYUNG
- College of Medicine (Department of Internal Medicine)