Principles of endoscopic resection

Diagnostic and curative resection of mucosal neoplasias

Tsuneo Oyama, Naohisa Yahagi

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

Progress in endoscopic detection and analysis has set the stage for endoscopic cure of early cancers of the gastrointestinal tract. Endoscopic submucosal dissection (ESD) introduced the principle of oncosurgical en bloc resection to mucosal neoplasms providing resection R status and histological pT staging and grading. ESD aims for curative resection of mucosal cancer. The risk for local recurrence-with snare ablation in piecemeal fashion in the range of 15-35 %-is reduced close to zero after curative ESD. Accurate endoscopic analysis of mucosal neoplasias is indispensible for decision-making on ESD. Developed in Japan, ESD is now starting in Western countries. The entirely new technique imposes a learning curve on experienced interventional endoscopists with the goal to first achieve the level of competence-i.e. safety-and later the level of proficiency with rapid and safe tumour resection.

Original languageEnglish
Title of host publicationEarly Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions
PublisherSpringer US
Pages35-48
Number of pages14
ISBN (Print)9781461482925, 1461482917, 9781461482918
DOIs
Publication statusPublished - 2013 Jul 1

Fingerprint

Neoplasms
Gastrointestinal Neoplasms
Learning Curve
Mental Competency
Decision Making
Japan
Endoscopic Mucosal Resection
Safety
Recurrence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Oyama, T., & Yahagi, N. (2013). Principles of endoscopic resection: Diagnostic and curative resection of mucosal neoplasias. In Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions (pp. 35-48). Springer US. https://doi.org/10.1007/978-1-4614-8292-5_3

Principles of endoscopic resection : Diagnostic and curative resection of mucosal neoplasias. / Oyama, Tsuneo; Yahagi, Naohisa.

Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions. Springer US, 2013. p. 35-48.

Research output: Chapter in Book/Report/Conference proceedingChapter

Oyama, T & Yahagi, N 2013, Principles of endoscopic resection: Diagnostic and curative resection of mucosal neoplasias. in Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions. Springer US, pp. 35-48. https://doi.org/10.1007/978-1-4614-8292-5_3
Oyama T, Yahagi N. Principles of endoscopic resection: Diagnostic and curative resection of mucosal neoplasias. In Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions. Springer US. 2013. p. 35-48 https://doi.org/10.1007/978-1-4614-8292-5_3
Oyama, Tsuneo ; Yahagi, Naohisa. / Principles of endoscopic resection : Diagnostic and curative resection of mucosal neoplasias. Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions. Springer US, 2013. pp. 35-48
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