Long-term outcomes of using Endoscopic submucosal dissection to treat early gastric cancer

Toshihiro Nishizawa, Naohisa Yahagi

Research output: Contribution to journalReview articlepeer-review

64 Citations (Scopus)


Endoscopic submucosal dissection (ESD) is becoming the main procedure for the resection of early gastric cancer (EGC). The absolute indications for treating EGC with endoscopic resection were established by the Japanese Gastric Cancer Association and have been generally accepted. However, the absolute indications for treating EGC are rather strict, and expanded indications have been developed. Many studies have reported favorable long-term outcomes for patients who received curative resection for the expanded indication. ESD preserves the stomach, thereby improving patients' quality of life compared to surgery; however, a generally higher incidence of metachronous gastric cancer has been reported after ESD for EGC. Therefore, clinicians must pay careful attention during surveillance endoscopy, even after a curative ESD. (Gut Liver 2018;12:119-124).

Original languageEnglish
Pages (from-to)119-124
Number of pages6
JournalGut and Liver
Issue number2
Publication statusPublished - 2018 Mar


  • Early gastric cancer
  • Endoscopic submucosal dissection
  • Long-term outcomes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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