title: Do you have what it takes for challenging endoscopic submucosal dissection cases?
abstract: Endoscopic submucosal dissection (ESD) is a widely accepted treatment for early gastric cancer (EGC), especially in Korea and Japan. The criteria for the therapeutic use of ESD for EGC have been expanded recently. However, attention should be drawn to the technical feasibility of the ESD treatment which depends on a lesion's location, size or fibrosis level, or operator's experience. In the case of a lesion with a high level of difficulty, a more experienced operator is required. Thus, the treatment for a lesion with a high level of difficulty should be performed according to the degree of the operator's experience. In this paper, the authors describe the ESD procedure for lesions with a high level of difficulty.
authors: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Hallym University Medical Center, Seoul 150-030, South Korea.
authors: Kyoung-Oh
authors: KO
authors: Kim
authors: Sung Jung
authors: SJ
authors: Kim
authors: Tae Hyeon
authors: TH
authors: Kim
authors: Jong-Jae
authors: JJ
authors: Park
mesh_terms: D004210:Dissection / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005753:Gastric Mucosa / Q000033:anatomy & histology* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*