Principles of Endoscopic Resection: Diagnostic and Curative Resection of Mucosal Neoplasias

Tsuneo Oyama; Naohisa Yahagi

doi:10.1007/978-3-030-01114-7_3

Principles of Endoscopic Resection: Diagnostic and Curative Resection of Mucosal Neoplasias

Tsuneo Oyama
, Naohisa Yahagi

Cancer Center (Advanced Minimally Invasive Therapy Unit)

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Endoscopic detection and analysis has set the stage for endoscopic cure of early cancers of the gastrointestinal tract. Endoscopic submucosal dissection (ESD) introduced the principle of oncosurgical en-bloc resection to mucosal neoplasms, providing histological grading, pT staging, and resection R status. ESD aims for curative resection of mucosal cancer. The risk of local recurrence—in the range of 10–35% with snare ablation in piecemeal fashion—is reduced close to zero after curative ESD. Accurate endoscopic analysis of early neoplasias is necessary to decide the differential indication for snare resection, ESD, or surgical resection. ESD is now spreading in Western countries, but requires a twofold learning curve: endo-diagnostic for correct indications and endo-electrosurgical for curative tumor resection.

Original language	English
Title of host publication	Atlas of Early Neoplasias of the Gastrointestinal Tract
Subtitle of host publication	Endoscopic Diagnosis and Therapeutic Decisions
Publisher	Springer International Publishing
Pages	47-62
Number of pages	16
ISBN (Electronic)	9783030011147
ISBN (Print)	9783030011130
DOIs	https://doi.org/10.1007/978-3-030-01114-7_3
Publication status	Published - 2019 Jan 1

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Endoscopic en-bloc resection
Endoscopic mucosal resection
Endoscopic submucosal dissection
Indications
Laparoscopic endoscopic combined
Local recurrence
Resective surgery
Snaring

ASJC Scopus subject areas

General Medicine

Access to Document

10.1007/978-3-030-01114-7_3

Cite this

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title = "Principles of Endoscopic Resection: Diagnostic and Curative Resection of Mucosal Neoplasias",

abstract = "Endoscopic detection and analysis has set the stage for endoscopic cure of early cancers of the gastrointestinal tract. Endoscopic submucosal dissection (ESD) introduced the principle of oncosurgical en-bloc resection to mucosal neoplasms, providing histological grading, pT staging, and resection R status. ESD aims for curative resection of mucosal cancer. The risk of local recurrence—in the range of 10–35\% with snare ablation in piecemeal fashion—is reduced close to zero after curative ESD. Accurate endoscopic analysis of early neoplasias is necessary to decide the differential indication for snare resection, ESD, or surgical resection. ESD is now spreading in Western countries, but requires a twofold learning curve: endo-diagnostic for correct indications and endo-electrosurgical for curative tumor resection.",

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AU - Yahagi, Naohisa

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PY - 2019/1/1

Y1 - 2019/1/1

N2 - Endoscopic detection and analysis has set the stage for endoscopic cure of early cancers of the gastrointestinal tract. Endoscopic submucosal dissection (ESD) introduced the principle of oncosurgical en-bloc resection to mucosal neoplasms, providing histological grading, pT staging, and resection R status. ESD aims for curative resection of mucosal cancer. The risk of local recurrence—in the range of 10–35% with snare ablation in piecemeal fashion—is reduced close to zero after curative ESD. Accurate endoscopic analysis of early neoplasias is necessary to decide the differential indication for snare resection, ESD, or surgical resection. ESD is now spreading in Western countries, but requires a twofold learning curve: endo-diagnostic for correct indications and endo-electrosurgical for curative tumor resection.

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KW - Endoscopic en-bloc resection

KW - Endoscopic mucosal resection

KW - Endoscopic submucosal dissection

KW - Indications

KW - Laparoscopic endoscopic combined

KW - Local recurrence

KW - Resective surgery

KW - Snaring

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BT - Atlas of Early Neoplasias of the Gastrointestinal Tract

PB - Springer International Publishing

ER -

Principles of Endoscopic Resection: Diagnostic and Curative Resection of Mucosal Neoplasias

Abstract

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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Cite this