Long and short of techniques in ESD and new devices for treatment of EGC

Title
Long and short of techniques in ESD and new devices for treatment of EGC
Author(s)
장병익이완식[이완식]조진웅[조진웅]김영대[김영대]김규정[김규정]
Keywords
ENDOSCOPIC SUBMUCOSAL DISSECTION; EARLY GASTRIC-CANCER; CARBON-DIOXIDE INSUFFLATION; TIPPED FLUSH KNIFE; DOUBLE-BLIND TRIAL; MAGNIFYING ENDOSCOPY; MUCOSAL RESECTION; PERFORMANCE; INJECTION; NEOPLASIA
Issue Date
201108
Publisher
BAISHIDENG PUBL GRP CO LTD
Citation
WORLD JOURNAL OF GASTROENTEROLOGY, v.17, no.31, pp.3585 - 3590
Abstract
Endoscopic submucosal dissection (ESD) is a highly refined technique compared to conventional endoscopic mucosal resection. It enables complete resection of early gastric cancer (EGC) which has no possibility of lymph node metastasis. Indication for ESD of EGC generally entails early gastric cancer confined to the mucosa with well differentiated histology, though there are clinically suitable expanded criteria. As ESD requires specific skill and expertise, endoscopists need to be familiarized with basic methods and the use of special devices. The essence of the technique is to dissect the submucosal layer with direct vision and maintain the cutting plane above the underlying proper muscle layer. Although there are some differences in the detailed technical aspect, the cardinal method of ESD is now well established and standardized. Furthermore, research and development of new ESD devices that render more efficient, safe ESD are still in progress to improve the overall result of ESD on early gastric cancer. (C) 2011 Baishideng. All rights reserved.
URI
http://hdl.handle.net/YU.REPOSITORY/24744http://dx.doi.org/10.3748/wjg.v17.i31.3585
ISSN
1007-9327
Appears in Collections:
의과대학 > 내과학교실 > Articles
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