Long-term Outcome after Endoscopic Treatment for Early Gastric Cancer in Korea

Lee, Hyuk

doi:2012.12.1.1

Korean J Helicobacter Up Gastrointest Res > Volume 12(1); 2012 > Article

Review

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(1):1-7.
DOI: https://doi.org/10.7704/kjhugr.2012.12.1.1 Published online March 10, 2012.

Long-term Outcome after Endoscopic Treatment for Early Gastric Cancer in Korea

Hyuk Lee

Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. leehyuk@yuhs.ac

우리나라 조기위암에 대한 내시경 치료 후 장기 성적

이혁

연세대학교 의과대학 내과학교실

Abstract

The early diagnosis of gastric cancer allows patients and physicians to pursue the option of endoscopic resection, which is significantly less invasive than conventional surgical resection. Newly developed endoscopic technique and devices have helped to overcome the limitations of therapeutic endoscopy in terms of lesion size, location, and presence of fibrotic scarring. As a result, the indications for endoscopic submucosal dissection (ESD) have been expanded from the classical indication for endoscopic mucosal resection (EMR), and there is now support for a further expansion of ESD indications. Long-term follow up data are needed for the clinical application of the expanded criteria of endoscopic treatment. In Korea, the use of endoscopic treatment has been increasing, and many reports on endoscopic treatment such as EMR or ESD have been published. This review was to elucidate the feasibility of the expanded guidelines, based on evidence from long-term outcome.

Key Words: Stomach cancer; Digestive system endoscopic surgical procedures; Treatment outcome