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World J Gastroenterol. Jun 7, 2014; 20(21): 6425-6432
Published online Jun 7, 2014. doi: 10.3748/wjg.v20.i21.6425
Endoscopic therapy for early gastric cancer: Standard techniques and recent advances in ESD
Keiichiro Kume
Keiichiro Kume, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu 807-8555, Japan
Author contributions: Kume K wrote this review.
Correspondence to: Keiichiro Kume, MD, PhD, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyusyu 807-8555, Japan. k-kume@med.uoeh-u.ac.jp
Telephone: +81-93-6031611 Fax: +81-93-6920107
Received: November 22, 2013
Revised: January 12, 2014
Accepted: February 17, 2014
Published online: June 7, 2014
Core Tip

Core tip: Endoscopic submucosal dissection (ESD) enables en bloc resection of early gastric cancer, facilitating detailed histopathological evaluation. ESD needs to be performed by highly skilled endoscopists in order to prevent procedural complications. To overcome this disadvantage of ESD, there have been various advances in the knives and other accessories used for this procedure.