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World J Gastroenterol. Jun 7, 2011; 17(21): 2611-2617
Published online Jun 7, 2011. doi: 10.3748/wjg.v17.i21.2611
Published online Jun 7, 2011. doi: 10.3748/wjg.v17.i21.2611
Worldwide experiences of endoscopic submucosal dissection: Not just Eastern acrobatics
Kwang Bum Cho, Division of Gastroenterology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu 700-712, South Korea
Won Joong Jeon, Department of Internal Medicine, Cheju Halla General Hospital, Cheju 690-766, South Korea
Jae J Kim, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, South Korea
Author contributions: Cho KB drafted the manuscript; Jeon WJ gathered the data; Kim JJ reviewed and edited the manuscript.
Correspondence to: Jae J Kim, MD, PhD, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Irwon-dong, Gangnam-gu, Seoul 135-710, South Korea. jjkim@skku.edu
Telephone: +82-2-34103404 Fax: +82-2-34106983
Received: June 26, 2010
Revised: September 2, 2010
Accepted: September 9, 2010
Published online: June 7, 2011
Revised: September 2, 2010
Accepted: September 9, 2010
Published online: June 7, 2011
Abstract
The high incidence of gastric cancer has led to the initiation of cancer screening programs. As a result, the number of early gastric cancer cases has increased and consequentially, the cancer mortality rate has decreased. Moreover, the development of minimally invasive endoscopic treatment has been introduced for these early lesions. Endoscopic submucosal dissection (ESD) is now recognized as one of the preferred treatment modalities for premalignant gastrointestinal epithelial lesions and early gastric cancer without lymph node metastasis. We review the results of ESD including experiences in Japan and Korea, as well as western countries.
Keywords: Experiences, Endoscopic submucosal dissection