J Gastric Cancer.  2011 Sep;11(3):146-154. 10.5230/jgc.2011.11.3.146.

Endoscopic Treatment for Early Gastric Cancer

• Kim SG

• KMID: 2055511
• DOI: http://doi.org/10.5230/jgc.2011.11.3.146

Abstract

Endoscopic resection has been accepted as a curative modality for early gastric cancer (EGC). Since conventional endoscopic mucosal resection (EMR) has been introduced, many improvements in endoscopic accessories and techniques have been achieved. Recently, endoscopic submucosal dissection (ESD) using various electrosurgical knives has been performed for complete resection of EGC and enables complete resection of EGC, which is difficult to completely resect in the era of conventional EMR. Currently, ESD is accepted as the standard method for endoscopic resection of EGC in indicated cases. In this review, the history of endoscopic treatment for EGC, overall ESD procedures, and indications and clinical results of endoscopic treatment will be presented.

Keyword

Endoscopic submucosal dissection; Early gastric cancer; Indication

MeSH Terms

Stomach Neoplasms

Figure

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  Fig. 1 ESD for EGC from marking, submucosal injection, circumferential incision to submucosal dissection. ESD = endoscopic submucosal dissection; EGC = early gastric cancer.

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  Fig. 2 Various knives used in ESD. (A) IT knife, (B) TT knife, (C) Flex knife, (D) Hook knife, (E) Fork knife, (F) Flush knife, (G) Splash knife. ESD = endoscopic submucosal dissection; IT = insulation-tipped; TT = triangle-tipped.

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