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Endoscopic Treatment for Early Gastric Cancer

  • Takuji Gotoda
Chapter

Abstract

In the history of gastric cancer treatment, many of the cases with gastric cancer discovered in the 1970s were in the advanced stage. As represented by the Appleby operation, extended radical surgery was globally accepted as a mainstream approach to gastric cancer, even in the early gastric cancer (EGC). With the widespread adoption of nationwide screening [1] in Japan and South Korea and the advancement of endoscope technology in the 1980s, the number of patients diagnosed with early gastric cancer has increased. Nowadays endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) offer less invasive options to patients. These options present important trade-offs such as less morbidity but also a higher risk of metachronous recurrence. Patients’ preferences and particularly fear of recurrence are important elements in choosing the optimal therapy.

Keywords

Early gastric cancer Endoscopic mucosal resection Endoscopic submucosal dissection Lymph node metastasis 

Abbreviations

CI

confidence interval

EGC

early gastric cancer

EMR

endoscopic mucosal resection

EMRC

EMR with cap-fitted panendoscope method

EMRL

EMR using multiband ligation

ESD

endoscopic submucosal dissection

IT knife

insulated-tip diathermic knife

LNM

lymph node metastasis

QOL

quality of life

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Takuji Gotoda
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineNihon University School of MedicineTokyoJapan

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