Endoscopic mucosal resection of gastric neoplasms using a ligating device

Akiyama, Masaki; Ota, Masanori; Nakajima, Hitoshi; Yamagata, Kazufumi; Munakata, Akihiro

doi:10.1016/s0016-5107(97)70245-1

Cited by 65 publications

(31 citation statements)

References 6 publications

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“…4C) uses a standard endoscopic variceal ligation device to capture the lesion and make it into a polypoid lesion by deploying the band underneath it [46]. The lesion above or below the band is then excised.…”

Section: Endoscopic Resection For Cure In Egcmentioning

confidence: 99%

Endoscopic resection of early gastric cancer

2007

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The purpose of this review is to examine recent advances in the techniques and technologies of endoscopic resection of early gastric cancer (EGC). Endoscopic mucosal resection (EMR) of EGC, with negligible risk of lymph node metastasis, is a standard technique in Japan and is increasingly becoming accepted and regularly used in Western countries. EMR is a minimally invasive technique which is safe, convenient, and effi cacious; however, it is insuffi cient when treating larger lesions. The evidence suggests that diffi culties with the correct assessment of depth of tumor invasion lead to an increase in local recurrence with standard EMR when lesions are larger than 15 mm. A major factor contributing to this increase in local recurrence relates to lesions being excised piecemeal due to the technical limitations of standard EMR. A new development in endoscopic techniques is to dissect directly along the submucosal layer -a procedure called endoscopic submucosal dissection (ESD). This allows the en-bloc resection of larger lesions. ESD is not necessarily limited by lesion size and it is predicted to replace conventional surgery in dealing with certain stages of ECG. However, it still has a higher complication rate when compared to standard EMR, and it requires high levels of endoscopic skill and experience. Endoscopic techniques, indications, pathological assessment, and methods of endoscopic resection of EGC need to be established for carrying out appropriate treatment and for the collation of long-term outcome data.

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Section: Endoscopic Resection For Cure In Egcmentioning

confidence: 99%

Endoscopic resection of early gastric cancer

2007

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“…Although successfully used to treat early gastric cancer, strip biopsies cannot be used to resect depressed ulcers or neoplasms. In the 1990s, EMR by cap-fitted panendoscope (EMR-C) and EMR with ligation (EMR-L) methods were developed in Japan for resection of early gastric cancer [6,7] . However, lesions larger than 2 cm cannot be removed en bloc with these techniques.…”

Section: Resectionmentioning

confidence: 99%

Current status of endoscopic submucosal dissection for the management of early gastric cancer: A Korean perspective

Chun

Keum²,

Kim

et al. 2011

WJG

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The early diagnosis of gastric cancer allows patients and physicians to pursue the option of endoscopic resection, which is significantly less invasive than conventional surgical resection. In Korea, the use of endoscopic submucosal dissection (ESD) has been increasing, and many reports on ESD have been published. In addition, Korean gastroenterologists from several hospitals performing ESD have conducted formal meetings to discuss useful information regarding ESD. Here, we discuss the Korean experience with ESD, including outcomes and prospects of endoscopic treatments.

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“…Although this method was easier and safer than conventional EMR for en-bloc resection of small-sized EGC, en-bloc complete resection was still impossible for larger-sized EGC than diameter of the cap (Akiyama et al, 1997). To overcome the disadvantages of previous methods, endoscopic submucosal dissection method (ESD) has been developed in late 1990's.…”

Section: History Of Endoscopic Resection For Egcmentioning

confidence: 99%

Endoscopic Resection of Early Gastric Cancer

Kim

2009

Korean J Gastroenterol

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Endoscopic mucosal resection of gastric neoplasms using a ligating device

Cited by 65 publications

References 6 publications

Endoscopic resection of early gastric cancer

Endoscopic resection of early gastric cancer

Current status of endoscopic submucosal dissection for the management of early gastric cancer: A Korean perspective

Endoscopic Resection of Early Gastric Cancer

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