| Theme |
Therapeutic Strategy for Early Gastrointestinal Cancers with EMR or ESD |
| Title |
ESD for Early Gastric Cancer, in Comparison with non-ESD Techniques |
| Author |
Hogara Nishisaki |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| Author |
Shigeya Hirohata |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| Author |
Kazutsugu Horita |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| Author |
Katsuro Shirakawa |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| Author |
Toshiharu Niki |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| Author |
Masahiro Tsuda |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| Author |
Yoshinobu Yamamoto |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| Author |
Atsuki Ikeda |
Division of Endoscopy and Gastrointestinal Oncology, Hyogo Cancer Center |
| [ Summary ] |
Three types of endoscopic resections were performed. 2 channel method (EMR), endoscopic aspiration mucosal resection (EAM) and endoscopic submucosal dissection (ESD) were used for treatment of early gastric cancer (EGC). EMR and EAM, so-called non ESD, are simple, rapid methods, but are less effective than ESD in terms of curative resection rates. ESD provides good results for treatment of EGC. However, it requires more skillful techniques and a longer time for resection than EMR or EAM. ESD could become the standard treatment for EGC, because both one-piece resection rates and curative resection rates were higher with ESD compared to those for EMR or EAM. EMR and EAM have good indications for resection of small EGC in areas where resection is difficult with ESD. |