The future of endoscopic resection for early gastric cancer

J Surg Oncol. 2022 Jun;125(7):1110-1122. doi: 10.1002/jso.26851.

Abstract

Endoscopic resection for early gastric cancer is recommended when the risk of lymph node metastasis is negligible and should be performed through submucosal dissection due to well-established short- and long-term results. To overcome technical difficulties and decrease adverse events some techniques have been studied. This review outlines current strategies for improving patient selection and highlights innovative techniques that help minimize adverse events. Moreover, we discuss how to improve management after curative and noncurative resections.

Keywords: endoscopic submucosal dissection; gastric cancer; virtual chromoendoscopy.

Publication types

  • Review

MeSH terms

  • Dissection
  • Early Detection of Cancer
  • Endoscopy
  • Humans
  • Lymphatic Metastasis
  • Stomach Neoplasms* / pathology
  • Stomach Neoplasms* / surgery