Korean J Thorac Cardiovasc Surg.  2020 Aug;53(4):172-177. 10.5090/kjtcs.2020.53.4.172.

Endoscopic Resection for the Treatment of Superficial Esophageal Neoplasms

Affiliations
  • 1Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Abstract

Superficial esophageal neoplasms (SENs) are being diagnosed increasingly frequently dueto the screening endoscopy and advances in endoscopic techniques. Endoscopic resection(ER) is a relatively noninvasive treatment method with low morbidity and mortalitythat provides excellent oncologic outcomes. Endoscopic submucosal dissection is associatedwith higher rates of en bloc, complete and curative resections and lower rates oflocal recurrence than endoscopic mucosal resection. The most serious complication ofER is stricture, the treatment and prevention of which are crucial to maintain the patient’squality of life. ER for SEN is feasible, effective, and safe and can be considered a first-linetreatment for SENs in which it is technically feasible.

Keyword

Superficial esophageal neoplasm; Endoscopic submucosal dissection; Endoscopic mucosal resection; Esophageal squamous cell carcinoma; Endoscopy
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