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World J Gastrointest Endosc. Sep 16, 2010; 2(9): 301-304
Published online Sep 16, 2010. doi: 10.4253/wjge.v2.i9.301
Published online Sep 16, 2010. doi: 10.4253/wjge.v2.i9.301
Endoscopic management of gastric dysplasia: Cutting edge technology needs a new paradigm
Seong Woo Jeon, Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu 700-721, South Korea
Author contribution: Jeon SW solely contributed to this paper.
Correspondence to: Seong Woo Jeon, MD, Assistant Professor of Gastroenterology, Kyungpook National University School of Medicine, Daegu 700-721, South Korea. swjeon@knu.ac.kr
Telephone: +82-53-4205512 Fax: +82-53-4268773
Received: October 15, 2009
Revised: June 4, 2010
Accepted: June 11, 2010
Published online: September 16, 2010
Revised: June 4, 2010
Accepted: June 11, 2010
Published online: September 16, 2010
Abstract
There has been tremendous progress in endoscopic techniques for the management of premalignant or malignant gastric lesions. Gastric cancer remains the second most common cause of cancer related mortality worldwide. This means that there is a need for early detection and diagnosis of premalignant lesions or early cancer in clinical practice. Despite substantial development of endoscopic resection techniques, the management of gastric premalignant lesions is controversial because of the lack of consensus and accurate risk stratification. Future study of various aspects would clarify these issues but in the meantime we should reconsider the current algorithm approach for the management of gastric low grade dysplasia.
Keywords: Grade dysplasia, Endoscopic resection, Submucosal dissection