Japan Gastroenterological Endoscopy Society, Tokyo, Japan.
Japanese Gastric Cancer Association, Tokyo, Japan.
Dig Endosc. 2021 Jan;33(1):4-20. doi: 10.1111/den.13883. Epub 2020 Dec 9.
In response to the rapid and wide acceptance and use of endoscopic treatments for early gastric cancer, the Japan Gastroenterological Endoscopy Society, in collaboration with the Japanese Gastric Cancer Association, produced "Guidelines for Endoscopic Submucosal Dissection and Endoscopic Mucosal Resection for Early Gastric Cancer" in 2014, as a set of basic guidelines in accordance with the principles of evidence-based medicine. At the time, a number of statements had to be established by consensus (the lowest evidence level), as evidence levels remained low for many specific areas in this field. However, in recent years, the number of well-designed clinical studies has been increasing. Based on new findings, we have issued the revised second edition of the above guidelines that cover the present state of knowledge. These guidelines are divided into the following seven categories: indications, preoperative diagnosis, techniques, evaluation of curability, complications, long-term postoperative surveillance, and histology.
为了应对内镜治疗早期胃癌的快速广泛接受和应用，日本胃肠内镜学会与日本胃癌协会合作，于 2014 年制定了“早期胃癌内镜黏膜下剥离术和内镜黏膜切除术指南”，作为一套符合循证医学原则的基本指南。当时，由于该领域的许多具体领域的证据水平仍然较低，因此必须通过共识（最低证据水平）来确定一些声明。然而，近年来，精心设计的临床研究数量不断增加。基于新的发现，我们发布了上述指南的修订第二版，涵盖了目前的知识状态。这些指南分为以下七个类别：适应证、术前诊断、技术、可治愈性评估、并发症、长期术后监测和组织学。
