Kim Ga Hee, Jung Hwoon-Yong
Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean J Thorac Cardiovasc Surg. 2020 Aug 5;53(4):172-177. doi: 10.5090/kjtcs.2020.53.4.172.
Superficial esophageal neoplasms (SENs) are being diagnosed increasingly frequently due to the screening endoscopy and advances in endoscopic techniques. Endoscopic resection (ER) is a relatively noninvasive treatment method with low morbidity and mortality that provides excellent oncologic outcomes. Endoscopic submucosal dissection is associated with higher rates of en bloc, complete and curative resections and lower rates of local recurrence than endoscopic mucosal resection. The most serious complication of ER is stricture, the treatment and prevention of which are crucial to maintain the patient's quality of life. ER for SEN is feasible, effective, and safe and can be considered a first-line treatment for SENs in which it is technically feasible.
由于筛查内镜检查和内镜技术的进步，浅表性食管肿瘤（SENs）的诊断越来越频繁。内镜切除术（ER）是一种相对无创的治疗方法，发病率和死亡率低，肿瘤学预后良好。与内镜黏膜切除术相比，内镜黏膜下剥离术的整块切除、完整切除和根治性切除率更高，局部复发率更低。ER最严重的并发症是狭窄，其治疗和预防对于维持患者的生活质量至关重要。SEN的ER是可行、有效和安全的，对于技术上可行的SEN可考虑作为一线治疗方法。
