Abstract

FORERO PINEROS, Elías Alfonso; ARANTES, Vitor  and  TOYONAGA, Takashi. Endoscopic submucosal dissection (ESD) for early gastric cancer: State of the art. Rev Col Gastroenterol [online]. 2012, vol.27, n.3, pp.200-221. ISSN 0120-9957.

The treatment of early gastric cancer has undergone revolutionary changes in the decades since the advent of endoscopic management. Currently, most of these early lesions are treated with endoscopic submucosal dissection (ESD). Due to the excellent screening program implemented in Japan almost half of all cases of gastric cancer there are treated with ESD. The aim of this review article is to facilitate the use of this technique by Latin American endoscopists and thus benefit our patients. To this end we provide a detailed description of ESD, show the current state of indications for this technique, and explain the limitations of this technique. This study was conducted by endoscopists trained in ESD in Japan and supervised by an expert Japanese endoscopist (TT) who had performed more than 4,000 with endoscopic submucosal dissections as of the beginning of 2012

Keywords : Submucosal dissection; early gastric cancer; ESD.

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