[Endoscopic therapy in early gastric cancer]. / Endoskopische Therapie von Magenfrühkarzinomen.
Chirurg
; 83(1): 9-15, 2012 Jan.
Article
em De
| MEDLINE
| ID: mdl-22090019
ABSTRACT
Endoscopic treatment of early gastric cancer has been shown to be effective and safe. It is a minimally invasive and organ-preserving treatment approach that can safely be used as an alternative to surgical resection. A prerequisite of any endoscopic treatment with a curative intent is a very low risk of lymph node metastasis of the lesion intended to be endoscopically resected. As in high-volume surgical centers all endoscopic procedures with a curative intent should also be carried out in centers with a high expertise in the different endoscopic resection (ER) techniques available, the major techniques being suck-and-cut ER and endoscopic submucosal dissection (ESD). Because of the risk of secondary neoplasia after curative endoscopic therapy, a standardized follow-up protocol is required. The majority of secondary neoplastic lesions can again be treated endoscopically. In the present article an overview of initial staging procedures, techniques, indications, as well as follow-up strategies after endoscopic therapy for early gastric cancer is given.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Lesões Pré-Cancerosas
/
Neoplasias Gástricas
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Gastroscopia
/
Procedimentos Cirúrgicos Minimamente Invasivos
Idioma:
De
Ano de publicação:
2012
Tipo de documento:
Article