Endoscopic submucosal dissection for esophageal squamous cell neoplasms: How i do it

Mitsuhiro Fujishiro, Shinya Kodashima, Osamu Goto, Satoshi Ono, Keiko Niimi, Nobutake Yamamichi, Masashi Oka, Masao Ichinose, Masao Omata

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Endoscopic submucosal dissection (ESD) has gradually gained acceptance as one of the standard treatments for early esophageal cancer, as well as for early gastric cancer in Japan, but standardization of the knowledge is still incomplete. The final goal to perform ESD is not to resect the lesion in an en bloc fashion, but to save the patient from esophageal cancer-related death. Thus, the indications should be considered based on the entire patient, not just the target lesion itself, and pre-, peri- and postoperative management of the patient is also very important, as well as technical aspects of ESD. In terms of the techniques of ESD, owing to refinement of the procedural strategy, invention of the devices, and the learning curve, acceptable safety and favorable middle-term efficacy have been obtained. We believe that ESD will become a standard treatment for early esophageal cancer not only in Japan but also worldwide in the near future.

Original languageEnglish
Pages (from-to)109-115
Number of pages7
JournalDigestive Endoscopy
Volume21
Issue number2
DOIs
Publication statusPublished - 2009 Apr
Externally publishedYes

Fingerprint

Squamous Cell Neoplasms
Esophageal Neoplasms
Japan
Learning Curve
Stomach Neoplasms
Endoscopic Mucosal Resection
Safety
Equipment and Supplies
Therapeutics

Keywords

  • Early esophageal cancer
  • Endoluminal surgery
  • Endoscopic mucosal resection
  • Endoscopic submucosal dissection
  • Esophageal neoplasm

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Fujishiro, M., Kodashima, S., Goto, O., Ono, S., Niimi, K., Yamamichi, N., ... Omata, M. (2009). Endoscopic submucosal dissection for esophageal squamous cell neoplasms: How i do it. Digestive Endoscopy, 21(2), 109-115. https://doi.org/10.1111/j.1443-1661.2009.00837.x

Endoscopic submucosal dissection for esophageal squamous cell neoplasms : How i do it. / Fujishiro, Mitsuhiro; Kodashima, Shinya; Goto, Osamu; Ono, Satoshi; Niimi, Keiko; Yamamichi, Nobutake; Oka, Masashi; Ichinose, Masao; Omata, Masao.

In: Digestive Endoscopy, Vol. 21, No. 2, 04.2009, p. 109-115.

Research output: Contribution to journalArticle

Fujishiro, M, Kodashima, S, Goto, O, Ono, S, Niimi, K, Yamamichi, N, Oka, M, Ichinose, M & Omata, M 2009, 'Endoscopic submucosal dissection for esophageal squamous cell neoplasms: How i do it', Digestive Endoscopy, vol. 21, no. 2, pp. 109-115. https://doi.org/10.1111/j.1443-1661.2009.00837.x
Fujishiro, Mitsuhiro ; Kodashima, Shinya ; Goto, Osamu ; Ono, Satoshi ; Niimi, Keiko ; Yamamichi, Nobutake ; Oka, Masashi ; Ichinose, Masao ; Omata, Masao. / Endoscopic submucosal dissection for esophageal squamous cell neoplasms : How i do it. In: Digestive Endoscopy. 2009 ; Vol. 21, No. 2. pp. 109-115.
@article{07bdd59c31ba4df79281b095bb6b08ff,
title = "Endoscopic submucosal dissection for esophageal squamous cell neoplasms: How i do it",
abstract = "Endoscopic submucosal dissection (ESD) has gradually gained acceptance as one of the standard treatments for early esophageal cancer, as well as for early gastric cancer in Japan, but standardization of the knowledge is still incomplete. The final goal to perform ESD is not to resect the lesion in an en bloc fashion, but to save the patient from esophageal cancer-related death. Thus, the indications should be considered based on the entire patient, not just the target lesion itself, and pre-, peri- and postoperative management of the patient is also very important, as well as technical aspects of ESD. In terms of the techniques of ESD, owing to refinement of the procedural strategy, invention of the devices, and the learning curve, acceptable safety and favorable middle-term efficacy have been obtained. We believe that ESD will become a standard treatment for early esophageal cancer not only in Japan but also worldwide in the near future.",
keywords = "Early esophageal cancer, Endoluminal surgery, Endoscopic mucosal resection, Endoscopic submucosal dissection, Esophageal neoplasm",
author = "Mitsuhiro Fujishiro and Shinya Kodashima and Osamu Goto and Satoshi Ono and Keiko Niimi and Nobutake Yamamichi and Masashi Oka and Masao Ichinose and Masao Omata",
year = "2009",
month = "4",
doi = "10.1111/j.1443-1661.2009.00837.x",
language = "English",
volume = "21",
pages = "109--115",
journal = "Digestive Endoscopy",
issn = "0915-5635",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Endoscopic submucosal dissection for esophageal squamous cell neoplasms

T2 - How i do it

AU - Fujishiro, Mitsuhiro

AU - Kodashima, Shinya

AU - Goto, Osamu

AU - Ono, Satoshi

AU - Niimi, Keiko

AU - Yamamichi, Nobutake

AU - Oka, Masashi

AU - Ichinose, Masao

AU - Omata, Masao

PY - 2009/4

Y1 - 2009/4

N2 - Endoscopic submucosal dissection (ESD) has gradually gained acceptance as one of the standard treatments for early esophageal cancer, as well as for early gastric cancer in Japan, but standardization of the knowledge is still incomplete. The final goal to perform ESD is not to resect the lesion in an en bloc fashion, but to save the patient from esophageal cancer-related death. Thus, the indications should be considered based on the entire patient, not just the target lesion itself, and pre-, peri- and postoperative management of the patient is also very important, as well as technical aspects of ESD. In terms of the techniques of ESD, owing to refinement of the procedural strategy, invention of the devices, and the learning curve, acceptable safety and favorable middle-term efficacy have been obtained. We believe that ESD will become a standard treatment for early esophageal cancer not only in Japan but also worldwide in the near future.

AB - Endoscopic submucosal dissection (ESD) has gradually gained acceptance as one of the standard treatments for early esophageal cancer, as well as for early gastric cancer in Japan, but standardization of the knowledge is still incomplete. The final goal to perform ESD is not to resect the lesion in an en bloc fashion, but to save the patient from esophageal cancer-related death. Thus, the indications should be considered based on the entire patient, not just the target lesion itself, and pre-, peri- and postoperative management of the patient is also very important, as well as technical aspects of ESD. In terms of the techniques of ESD, owing to refinement of the procedural strategy, invention of the devices, and the learning curve, acceptable safety and favorable middle-term efficacy have been obtained. We believe that ESD will become a standard treatment for early esophageal cancer not only in Japan but also worldwide in the near future.

KW - Early esophageal cancer

KW - Endoluminal surgery

KW - Endoscopic mucosal resection

KW - Endoscopic submucosal dissection

KW - Esophageal neoplasm

UR - http://www.scopus.com/inward/record.url?scp=62449251415&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=62449251415&partnerID=8YFLogxK

U2 - 10.1111/j.1443-1661.2009.00837.x

DO - 10.1111/j.1443-1661.2009.00837.x

M3 - Article

C2 - 19691785

AN - SCOPUS:62449251415

VL - 21

SP - 109

EP - 115

JO - Digestive Endoscopy

JF - Digestive Endoscopy

SN - 0915-5635

IS - 2

ER -