Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer

Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as nar...

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Published inClinical endoscopy Vol. 53; no. 2; pp. 142 - 166
Main Authors Park, Chan Hyuk, Yang, Dong-Hoon, Kim, Jong Wook, Kim, Jie-Hyun, Kim, Ji Hyun, Min, Yang Won, Lee, Si Hyung, Bae, Jung Ho, Chung, Hyunsoo, Choi, Kee Don, Park, Jun Chul, Lee, Hyuk, Kwak, Min-Seob, Kim, Bun, Lee, Hyun Jung, Lee, Hye Seung, Choi, Miyoung, Park, Dong-Ah, Lee, Jong Yeul, Byeon, Jeong-Sik, Park, Chan Guk, Cho, Joo Young, Lee, Soo Teik, Chun, Hoon Jai
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Society of Gastrointestinal Endoscopy 01.03.2020
대한소화기내시경학회
Subjects
early colorectal cancer
early gastric cancer
endoscopic resection
guideline
Review
superficial esophageal squamous cell carcinoma
내과학
Guideline
Superficial esophageal squamous cell carcinoma
Endoscopic resection
Early gastric cancer
Early colorectal cancer
Online AccessGet full text
ISSN2234-2400
2234-2443
DOI10.5946/ce.2020.032

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Abstract Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.
AbstractList Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment forearly gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, andimage-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancersfor delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopicresection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinalcancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factorsfor lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgerywith regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph nodemetastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guidelinewas developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cellcarcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer arecollected. KCI Citation Count: 3
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.
Author Bae, Jung Ho
Lee, Jong Yeul
Park, Chan Guk
Lee, Hyun Jung
Choi, Kee Don
Yang, Dong-Hoon
Park, Jun Chul
Lee, Hye Seung
Kim, Jong Wook
Lee, Si Hyung
Lee, Soo Teik
Kim, Ji Hyun
Byeon, Jeong-Sik
Min, Yang Won
Lee, Hyuk
Park, Dong-Ah
Chun, Hoon Jai
Choi, Miyoung
Cho, Joo Young
Kim, Bun
Kim, Jie-Hyun
Chung, Hyunsoo
Park, Chan Hyuk
Kwak, Min-Seob
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/32252507$$D View this record in MEDLINE/PubMed
https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002574040$$DAccess content in National Research Foundation of Korea (NRF)
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Keywords Guideline
Superficial esophageal squamous cell carcinoma
Endoscopic resection
Early gastric cancer
Early colorectal cancer
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These authors contributed equally to this study.
https://doi.org/10.5946/ce.2020.032
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Snippet Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal...
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment forearly gastrointestinal...
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SubjectTerms early colorectal cancer
early gastric cancer
endoscopic resection
guideline
Review
superficial esophageal squamous cell carcinoma
내과학
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Title Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
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