In this editorial we comment on the article published in the recent issue of the World Journal of Gastrointestinal Endoscopy 2023;15(11):634-680.Gastric cancer(GC)remains the fifth most common malignancy and the fourt...In this editorial we comment on the article published in the recent issue of the World Journal of Gastrointestinal Endoscopy 2023;15(11):634-680.Gastric cancer(GC)remains the fifth most common malignancy and the fourth leading cause of cancer-related death worldwide.The overall prevalence of GC has declined,although that of proximal GC has increased over time.Thus,a significant proportion of GC cases and deaths can be avoided if preventive interventions are taken.Early GC(EGC)is defined as GC confined to the mucosa or submucosa.Endoscopic resection is considered the most appropriate treatment for precancerous gastrointestinal lesions improving patient quality of life,with reduced rates of complications,shorter hospitalization period,and lower costs when compared to surgical resection.Endoscopic mucosal resection(EMR)and endoscopic sub-mucosal dissection(ESD)are representative endoscopic treatments for EGC and precancerous gastric lesions.Standard EMR implies injection of a saline solution into the sub-mucosal space,followed by excision of the lesion using a snare.Complete resection rates vary depending on the size and severity of the lesion.When using conventional EMR methods for lesions less than 1 cm in size,the complete resection rate is approximately 60%,whereas for lesions larger than 2 cm,the complete resection rate is low(20%-30%).ESD can be used to remove tumors exceeding 2 cm in diameter and lesions associated with ulcers or submucosal fibrosis.Compared with EMR,ESD has higher en bloc resection rates(90.2%vs 51.7%),higher complete resection rates(82.1 vs 42.2%),and lower recurrence rates(0.65%vs 6.05%).Thus,innovative techniques have been introduced.展开更多
<span style="font-family:;" "=""><span style="font-family:Verdana;">Endosco</span><span style="font-family:Verdana;">pic sub-mucosal dismemberment (...<span style="font-family:;" "=""><span style="font-family:Verdana;">Endosco</span><span style="font-family:Verdana;">pic sub-mucosal dismemberment (ESD) has become a settled strat</span><span style="font-family:Verdana;">egy for treatment of shallow neoplasms in the gastrointestinal tract. In three local areas, ESD was introduced to overcome traditional endoscopic mucous resecti</span><span style="font-family:Verdana;">on (EMR) and inadequate resection of the EMR, combining mout</span><span style="font-family:Verdana;">h, stomach, and the colon, for early disruptive sores. ESD was grown first in Japan since that nation has the highest predominance of gastric malignant growth on the p</span><span style="font-family:Verdana;">lanet. Endoscopic sub-mucosal analyzation causes enormous fake ulc</span><span style="font-family:Verdana;">ers with </span><span style="font-family:Verdana;">more severe dangers of intra-usable and deferred postoperative draining. However, </span><span style="font-family:Verdana;">there is no agreement in regards to the ideal peri-usable administration for the anticipation of free draining and the advancement of ulcer mending. The hugeness of this investigation is to locate a superior procedure to bring down the hazard post ESD draining and to plan to defeat the confinements of re</span><span style="font-family:Verdana;">gular EMR (endoscopic mucosal resection) and fragmented resection for</span><span style="font-family:Verdana;"> early malignant injuries in the three districts which incorporate throat, stomach, and colon. However, it has considered a standard in Eastern Asian nations and Japan because of the incredible importance of ESD. The EMR and </span><span style="font-family:Verdana;">ESD approaches are discussed in this report. Thus, the warning factors for early gastric neoplasms of PPB after ESD were established, and a superi</span><span style="font-family:Verdana;">or technique was created to mitigate the danger of ESD dying. EMR was already wide</span><span style="font-family:Verd展开更多
There has been tremendous progress in endoscopic techniques for the management of premalignant or malignant gastric lesions.Gastric cancer remains the second most common cause of cancer related mortality worldwide.Thi...There has been tremendous progress in endoscopic techniques for the management of premalignant or malignant gastric lesions.Gastric cancer remains the second most common cause of cancer related mortality worldwide.This means that there is a need for early detection and diagnosis of premalignant lesions or early cancer in clinical practice.Despite substantial development of endoscopic resection techniques,the management of gastric premalignant lesions is controversial because of the lack of consensus and accurate risk stratification.Future study of various aspects would clarify these issues but in the meantime we should reconsider the current algorithm approach for the management of gastric low grade dysplasia.展开更多
文摘In this editorial we comment on the article published in the recent issue of the World Journal of Gastrointestinal Endoscopy 2023;15(11):634-680.Gastric cancer(GC)remains the fifth most common malignancy and the fourth leading cause of cancer-related death worldwide.The overall prevalence of GC has declined,although that of proximal GC has increased over time.Thus,a significant proportion of GC cases and deaths can be avoided if preventive interventions are taken.Early GC(EGC)is defined as GC confined to the mucosa or submucosa.Endoscopic resection is considered the most appropriate treatment for precancerous gastrointestinal lesions improving patient quality of life,with reduced rates of complications,shorter hospitalization period,and lower costs when compared to surgical resection.Endoscopic mucosal resection(EMR)and endoscopic sub-mucosal dissection(ESD)are representative endoscopic treatments for EGC and precancerous gastric lesions.Standard EMR implies injection of a saline solution into the sub-mucosal space,followed by excision of the lesion using a snare.Complete resection rates vary depending on the size and severity of the lesion.When using conventional EMR methods for lesions less than 1 cm in size,the complete resection rate is approximately 60%,whereas for lesions larger than 2 cm,the complete resection rate is low(20%-30%).ESD can be used to remove tumors exceeding 2 cm in diameter and lesions associated with ulcers or submucosal fibrosis.Compared with EMR,ESD has higher en bloc resection rates(90.2%vs 51.7%),higher complete resection rates(82.1 vs 42.2%),and lower recurrence rates(0.65%vs 6.05%).Thus,innovative techniques have been introduced.
文摘<span style="font-family:;" "=""><span style="font-family:Verdana;">Endosco</span><span style="font-family:Verdana;">pic sub-mucosal dismemberment (ESD) has become a settled strat</span><span style="font-family:Verdana;">egy for treatment of shallow neoplasms in the gastrointestinal tract. In three local areas, ESD was introduced to overcome traditional endoscopic mucous resecti</span><span style="font-family:Verdana;">on (EMR) and inadequate resection of the EMR, combining mout</span><span style="font-family:Verdana;">h, stomach, and the colon, for early disruptive sores. ESD was grown first in Japan since that nation has the highest predominance of gastric malignant growth on the p</span><span style="font-family:Verdana;">lanet. Endoscopic sub-mucosal analyzation causes enormous fake ulc</span><span style="font-family:Verdana;">ers with </span><span style="font-family:Verdana;">more severe dangers of intra-usable and deferred postoperative draining. However, </span><span style="font-family:Verdana;">there is no agreement in regards to the ideal peri-usable administration for the anticipation of free draining and the advancement of ulcer mending. The hugeness of this investigation is to locate a superior procedure to bring down the hazard post ESD draining and to plan to defeat the confinements of re</span><span style="font-family:Verdana;">gular EMR (endoscopic mucosal resection) and fragmented resection for</span><span style="font-family:Verdana;"> early malignant injuries in the three districts which incorporate throat, stomach, and colon. However, it has considered a standard in Eastern Asian nations and Japan because of the incredible importance of ESD. The EMR and </span><span style="font-family:Verdana;">ESD approaches are discussed in this report. Thus, the warning factors for early gastric neoplasms of PPB after ESD were established, and a superi</span><span style="font-family:Verdana;">or technique was created to mitigate the danger of ESD dying. EMR was already wide</span><span style="font-family:Verd
文摘There has been tremendous progress in endoscopic techniques for the management of premalignant or malignant gastric lesions.Gastric cancer remains the second most common cause of cancer related mortality worldwide.This means that there is a need for early detection and diagnosis of premalignant lesions or early cancer in clinical practice.Despite substantial development of endoscopic resection techniques,the management of gastric premalignant lesions is controversial because of the lack of consensus and accurate risk stratification.Future study of various aspects would clarify these issues but in the meantime we should reconsider the current algorithm approach for the management of gastric low grade dysplasia.
