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Endoscopic Treatment for Early Gastric Cancer

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Book cover Surgery for Gastric Cancer

Abstract

In the history of gastric cancer treatment, many of the cases with gastric cancer discovered in the 1970s were in the advanced stage. As represented by the Appleby operation, extended radical surgery was globally accepted as a mainstream approach to gastric cancer, even in the early gastric cancer (EGC). With the widespread adoption of nationwide screening [1] in Japan and South Korea and the advancement of endoscope technology in the 1980s, the number of patients diagnosed with early gastric cancer has increased. Nowadays endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) offer less invasive options to patients. These options present important trade-offs such as less morbidity but also a higher risk of metachronous recurrence. Patients’ preferences and particularly fear of recurrence are important elements in choosing the optimal therapy.

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Abbreviations

CI:

confidence interval

EGC:

early gastric cancer

EMR:

endoscopic mucosal resection

EMRC:

EMR with cap-fitted panendoscope method

EMRL:

EMR using multiband ligation

ESD:

endoscopic submucosal dissection

IT knife:

insulated-tip diathermic knife

LNM:

lymph node metastasis

QOL:

quality of life

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Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan

    Takuji Gotoda

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  1. Takuji Gotoda
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Editors and Affiliations

  1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea (Republic of)

    Sung Hoon Noh

  2. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea (Republic of)

    Woo Jin Hyung

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Gotoda, T. (2019). Endoscopic Treatment for Early Gastric Cancer. In: Noh, S., Hyung, W. (eds) Surgery for Gastric Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45583-8_5

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  • DOI: https://doi.org/10.1007/978-3-662-45583-8_5

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