title: An update in endoscopic management of gastric cancer.
abstract: OBJECTIVE
  Gastric cancer remains a prevalent disease with a 5-year mortality rate of less than 25%. This review focuses on the endoscopic detection, staging, and management of gastric adenocarcinoma.
  
  
  RESULTS
  Confocal laser endomicroscopy and narrow band imaging have a 77-99.4% sensitivity for early cancer detection, a significant improvement when compared with white light endoscopy. Proper staging can be accomplished through endoscopic ultrasound and multidetector row-computed tomography, with accuracy as high as 90.1%. Endoscopic management of early gastric cancer is minimally invasive and can be preferable to surgery. In properly selected patients, endoscopic submucosal dissection has been found to have 100% 5-year survival.
  
  
  CONCLUSIONS
  The recent advances in gastric cancer have greatly improved the care we can offer our patients in gastric oncology. The emerging technologies will hopefully continue to promote this trend.
authors.affiliation: Division of Gastroenterology, Department of Medicine, Umass Memorial Medical Center, Worcester, Massachusetts 01655, USA.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Retana
authors.forename: Taryn
authors.initials: T
authors.lastname: Silverstein
authors.forename: Wahid
authors.initials: W
authors.lastname: Wassef
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*