title: Endoscopic submucosal dissection for esophageal squamous cell neoplasms.
abstract: Endoscopic submucosal dissection (ESD) has gradually gained acceptance as one of the standard treatments for early esophageal cancer, as well as for early gastric cancer in Japan, but standardization of the knowledge is still incomplete. The final goal to perform ESD is not to resect the lesion in an en bloc fashion, but to save the patient from esophageal cancer-related death. Thus, the indications should be considered based on the entire patient, not just the target lesion itself, and pre-, peri- and postoperative management of the patient is also very important, as well as technical aspects of ESD. In terms of the techniques of ESD, owing to refinement of the procedural strategy, invention of the devices, and the learning curve, acceptable safety and favorable middle-term efficacy have been obtained. We believe that ESD will become a standard treatment for early esophageal cancer not only in Japan but also worldwide in the near future.
authors.affiliation: Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan. mtfujish-kkr@umin.ac.jp
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Fujishiro
authors.forename: Shinya
authors.initials: S
authors.lastname: Kodashima
authors.forename: Osamu
authors.initials: O
authors.lastname: Goto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ono
authors.forename: Keiko
authors.initials: K
authors.lastname: Niimi
authors.forename: Nobutake
authors.initials: N
authors.lastname: Yamamichi
authors.forename: Masashi
authors.initials: M
authors.lastname: Oka
authors.forename: Masao
authors.initials: M
authors.lastname: Ichinose
authors.forename: Masao
authors.initials: M
authors.lastname: Omata
mesh_terms: D002278:Carcinoma in Situ / Q000601:surgery*; D004210:Dissection; D004724:Endoscopy / Q000379:methods*; D004938:Esophageal Neoplasms / Q000601:surgery*; D006801:Humans; D009092:Mucous Membrane / Q000601:surgery; D018307:Neoplasms, Squamous Cell / Q000601:surgery*