Endoscopic resection in neoplastic lesions of the oesophagus.
BACKGROUND
Endoscopic resection has gained more and more importance in the treatment of early oesophageal neoplasia over the past few years. The choice of the different available techniques depends on the site, the macroscopic type of the tumour and the personal experience of the endoscopist.


METHODS
The "suck-and-cut" technique with ligation device or cap should be favoured over normal strip biopsy in the oesophagus because of the size of the resected specimen and the technical feasibility.


RESULTS
Endoscopic resection (ER) of high-grade intra-epithelial neoplasia and mucosal adenocarcinoma in Barrett's oesophagus should be considered as the treatment of choice, due to excellent long-term results. First mid-term results of endoscopic therapy of early squamous cell neoplasia in the oesophagus show promising results; however, long-term results are awaited.


CONCLUSIONS
ER of oesophageal neoplastic lesions is a safe and effective method but should be performed only by experienced endoscopists.
Department of Medicine II, HSK Wiesbaden, Ludwig-Erhard-Strasse 100, 65199, Wiesbaden, Germany.
Oliver
O
Pech
Andrea
A
May
Thomas
T
Rabenstein
Liebwin
L
Gossner
Christian
C
Ell
D000230:Adenocarcinoma / Q000601:surgery; D001471:Barrett Esophagus / Q000601:surgery; D001706:Biopsy / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery*; D004945:Esophagoscopy; D004947:Esophagus / Q000473:pathology; D006801:Humans