title: Technical issues and new devices of ESD of early gastric cancer.
abstract: Endoscopic submucosal dissection (ESD) is a highly refined technique compared to conventional endoscopic mucosal resection. It enables complete resection of early gastric cancer (EGC) which has no possibility of lymph node metastasis. Indication for ESD of EGC generally entails early gastric cancer confined to the mucosa with well differentiated histology, though there are clinically suitable expanded criteria. As ESD requires specific skill and expertise, endoscopists need to be familiarized with basic methods and the use of special devices. The essence of the technique is to dissect the submucosal layer with direct vision and maintain the cutting plane above the underlying proper muscle layer. Although there are some differences in the detailed technical aspect, the cardinal method of ESD is now well established and standardized. Furthermore, research and development of new ESD devices that render more efficient, safe ESD are still in progress to improve the overall result of ESD on early gastric cancer.
authors: Division of Gastroenterology, Department of Internal Medicine, Chonnam University Medical School, Gwangju 501757, South Korea.
authors: Wan Sik
authors: WS
authors: Lee
authors: Jin Woong
authors: JW
authors: Cho
authors: Young Dae
authors: YD
authors: Kim
authors: Kyu Jong
authors: KJ
authors: Kim
authors: Byung Ik
authors: BI
authors: Jang
mesh_terms: D004210:Dissection / Q000295:instrumentation* / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation* / Q000379:methods*; D005753:Gastric Mucosa / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome