Kim Mi-Young, Cho Jun-Hyung, Jain Pankaj, Cho Joo Young
Digestive Disease Center, Soonchunhyang University Hospital, Seoul, Korea.
Department of Gastroenterology, Sterling Hospital, Vadodara, India.
Gastrointest Endosc Clin N Am. 2014 Apr;24(2):283-93. doi: 10.1016/j.giec.2013.11.001.
Endoscopic submucosal dissection (ESD) improves the quality of life of patients with early gastric cancer (EGC) and dysplasia by preserving gastric function. ESD in the treatment of EGC and dysplasia has become standard in Japan and Korea and is being developed and implemented in many major centers in Asia. With a well-designed prospective study, long-term outcomes of expanded criteria for endoscopic resection of EGC are expected to provide reliable indications for endoscopic treatment. Ongoing and novel clinical investigations of minimally invasive approaches and close collaboration between Western and Asian countries are expected to establish the best way to treat EGC.
内镜下黏膜剥离术（ESD）通过保留胃功能，改善了早期胃癌（EGC）和发育异常患者的生活质量。ESD治疗EGC和发育异常在日本和韩国已成为标准治疗方法，并且在亚洲许多主要中心正在开展和实施。通过精心设计的前瞻性研究，EGC扩大标准内镜切除的长期结果有望为内镜治疗提供可靠的指征。正在进行的微创方法新临床研究以及西方国家与亚洲国家之间的密切合作，有望确立治疗EGC的最佳方法。
