Comparison of endoscopic submucosal dissection and surgery for superficial esophageal squamous cell carcinoma: a propensity score-matched analysis

Ye, Min; Lee, Hyuk; Song, Byeong Geun; Kim, Hong Kwan; Choi, Yong Soo; Lee, Jun Haeng; Hwang, Narae; Carrière, Keumhee C.; Rhee, Poong‐Lyul; Kim, Jae J.; Shim, Young Mog

doi:10.1016/j.gie.2018.04.2360

Cited by 72 publications

(82 citation statements)

References 36 publications

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“…Similarly, a report from Korea found no difference between the ESD and surgical resection groups after mean observation periods of 43 and 63 months, respectively, in terms of overall survival, disease‐specific survival, or recurrence‐free survival. ER is therefore considered safer and less invasive than surgical resection in patients with pT1 cancers, as well as being superior in terms of medical economics.…”

Section: Part 1: Esophageal Squamous Cell Carcinomamentioning

confidence: 99%

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Endoscopic submucosal dissection/endoscopic mucosal resection guidelines for esophageal cancer

Ishihara

Arima

Iizuka

et al. 2020

Digestive Endoscopy

247

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The Japan Gastroenterological Endoscopy Society has developed endoscopic submucosal dissection/endoscopic mucosal resection guidelines. These guidelines present recommendations in response to 18 clinical questions concerning the preoperative diagnosis, indications, resection methods, curability assessment, and surveillance of patients undergoing endoscopic resection for esophageal cancers based on a systematic review of the scientific literature.

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Section: Part 1: Esophageal Squamous Cell Carcinomamentioning

confidence: 99%

“…These 355 articles underwent primary screening and 57 articles were selected for secondary screening. After applying stringent selection criteria, we performed a systematic review of seven articles and also investigated articles on chemoradiotherapy as an additional treatment and articles comparing ER with surgical resection …”

Section: Introductionmentioning

confidence: 99%

Endoscopic submucosal dissection/endoscopic mucosal resection guidelines for esophageal cancer

Ishihara

Arima

Iizuka

et al. 2020

Digestive Endoscopy

247

259

View full text Add to dashboard Cite

show abstract

“…[29][30][31] Recent Korean studies report no significant difference in long-term survival between patients with SESCC without obvious submucosal invasion who underwent endoscopic resection as their first treatment and those who underwent esophagectomy, and the rate of postoperative complications was significantly higher in the operated patients. 32 This may be because additional operations lowered the risk of recurrence following non-curative endoscopic resection. A Chinese study also reported no significant difference in survival rates between patients with SESCC who underwent endoscopic resection and those who underwent surgical resection and reported a lower incidence of treatment-related complications in the former group.…”

Section: Superficial Esophageal Squamous Cell Carcinomamentioning

confidence: 99%

Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer

et al. 2020

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Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

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“… 1 2 To overcome the challenges of the inevitable morbidity and mortality associated with radical esophageal resection, endoscopists have been successfully using endoscopic resection as a minimally invasive treatment in recent years. 1 2 3 4 However, endoscopic resection with curative intent is indicated only for mucosal invasive tumors because these tumors rarely metastasize to the lymph nodes. 5 Therefore, accurate prediction of invasion depth in SESC is crucial for making a proper decision on the treatment strategy.…”

Section: Introductionmentioning

confidence: 99%

Novel Endoscopic Criteria for Predicting Tumor Invasion Depth in Superficial Esophageal Squamous Carcinoma

et al. 2020

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Background Accurate prediction of tumor invasion depth in superficial esophageal squamous carcinoma (SESC) is essential for deciding the appropriate treatment strategy. We proposed novel endoscopic criteria to differentiate between mucosal and submucosal esophageal cancers and to evaluate the diagnostic accuracy and usefulness of the criteria. Methods A total of 352 patients who underwent endoscopic or surgical resection for SESC between 1991 and 2010 were included. First, the novel endoscopic criteria were created based on the endoscopic features of 60 randomly selected patients as follows: for T1m cancers, I. flat or slightly elevated or depressed lesion with smooth/even surface of any size, II. slightly elevated lesion of ≤ 1 cm with granular or uneven surface, III. hyperemic flat lesion of ≤ 3 cm with granular or uneven surface, IV. slightly depressed lesion of ≤ 2 cm with uneven surface and for T1sm cancers, I. irregularly (unevenly) nodular or protruded lesion of any size, II. slightly elevated lesion of > 1 cm with granular or uneven surface, III. hyperemic flat lesion of > 3 cm with granular or uneven surface, IV. irregularly (unevenly) depressed lesion of > 2 cm, and V. ulcerative lesion of any size. Next, the endoscopic findings of the remaining 292 patients were reviewed according to the criteria. Results The accuracy of novel endoscopic criteria was 79.5% (232/292). The sensitivity and specificity of mucosal cancers were 78.4% and 81.0%, respectively, whereas those for submucosal cancers were 81.0% and 78.4%, respectively. The accuracy for mucosal cancers was high (97.3%, 72/74) when the lesions were flat or slightly elevated/depressed with smooth/even surface regardless of size, whereas that for submucosal cancers was high (85.7%, 18/21) when the lesions were irregular/nodular protrusions regardless of size. In multivariate analysis, macroscopic type IIb lesion was identified as an independent factor affecting accuracy ( P < 0.05). The difference in recurrence-free survival rates between endoscopically mucosal and submucosal cancers was significant ( P = 0.026). Conclusion The novel endoscopic criteria appear to be accurate and useful in predicting invasion depth in SESC. Our criteria might help not only to decide the treatment strategy between surgery and endoscopic resection but also to predict the outcomes of SESC.

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Comparison of endoscopic submucosal dissection and surgery for superficial esophageal squamous cell carcinoma: a propensity score-matched analysis

Cited by 72 publications

References 36 publications

Endoscopic submucosal dissection/endoscopic mucosal resection guidelines for esophageal cancer

Endoscopic submucosal dissection/endoscopic mucosal resection guidelines for esophageal cancer

Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer

Novel Endoscopic Criteria for Predicting Tumor Invasion Depth in Superficial Esophageal Squamous Carcinoma

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