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 language | English |
|---|---|
| Title of host publication | Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions |
| Publisher | Springer US |
| Pages | 35-48 |
| Number of pages | 14 |
| ISBN (Print) | 9781461482925, 1461482917, 9781461482918 |
| DOIs | |
| Publication status | Published - 2013 Jul 1 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
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 proceeding › Chapter
}
TY - CHAP
T1 - Principles of endoscopic resection
T2 - Diagnostic and curative resection of mucosal neoplasias
AU - Oyama, Tsuneo
AU - Yahagi, Naohisa
PY - 2013/7/1
Y1 - 2013/7/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84929674214&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929674214&partnerID=8YFLogxK
U2 - 10.1007/978-1-4614-8292-5_3
DO - 10.1007/978-1-4614-8292-5_3
M3 - Chapter
SN - 9781461482925
SN - 1461482917
SN - 9781461482918
SP - 35
EP - 48
BT - Early Neoplasias of the Gastrointestinal Tract: Endoscopic Diagnosis and Therapeutic Decisions
PB - Springer US
ER -