Endoscopic Diagnosis of Early Small and Minute Gastric Cancer

Abstract

Needless to say, detecting a lesion of the smallest size possible has a great beneficial impact on decisions regarding subsequent treatment strategy. In particular, detecting a lesion at the stage that allows endoscopic treatment is a key goal of the endoscopist. During endoscopic examinations, attention should be paid to the following points.

• Comfortable endoscopy facilitates clinical follow-up of patients.

• Complete removal of mucus is fundamental to endoscopy.

• Conforming to the standards of observation helps avoid overlooking irregularities.

• Changing the air amount and patient position depending on the situation is important.

• Constant attention to even minimal findings is needed.

• Chromoendoscopy requires ingenuity.

• Conventional diagnostic approaches can produce poor results.

These seven Cs are critical to the success of endoscopic diagnosis.