Treatment modalities for early gastric cancer

被引：31

作者：

Espinel, Jesus ^{[1
]}

Pinedo, Eugenia ^{[2
]}

Ojeda, Vanesa ^{[3
]}

Guerra del Rio, Maria ^{[4
]}

机构：

[1] Hosp Univ Leon, Dept Digest Dis, Leon 24071, Spain

[2] Hosp Univ Leon, Dept Radiodiag, Leon 24071, Spain

[3] Hosp Univ Dr Negrin, Dept Digest Dis, Las Palmas Gran Canaria 35010, Spain

[4] Burton Hosp NHS Fdn Trust, Burton Upon Trent DE13 0RB, Staffs, England

来源：

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY | 2015年 / 7卷 / 12期

关键词：

Early gastric cancer; Endoscopic submucosal dissection; Endoscopic mucosal resection; Pathological staging; Gastrectomy;

D O I：

10.4253/wjge.v7.i12.1062

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Different treatment modalities have been proposed in the treatment of early gastric cancer (EGC). Endoscopic resection (ER) is an established treatment that allows curative treatment, in selected cases. In addition, ER allows for an accurate histological staging, which is crucial when deciding on the best treatment option for EGC. Recently, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have become alternatives to surgery in early gastric cancer, mainly in Asian countries. Patients with "standard" criteria can be successfully treated by EMR techniques. Those who meet "expanded" criteria may benefit from treatment by ESD, reducing the need for surgery. Standardized ESD training system is imperative to promulgate effective and safe ESD technique to practices with limited expertise. Although endoscopic resection is an option in patients with EGC, surgical treatment continues to be a widespread therapeutic option worldwide. In this review we tried to point out the treatment modalities for early gastric cancer.

引用

页码：1062 / 1069

页数：8

共 69 条

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