title: [Endoscopic therapy in early gastric cancer].
abstract: Endoscopic treatment of early gastric cancer has been shown to be effective and safe. It is a minimally invasive and organ-preserving treatment approach that can safely be used as an alternative to surgical resection. A prerequisite of any endoscopic treatment with a curative intent is a very low risk of lymph node metastasis of the lesion intended to be endoscopically resected. As in high-volume surgical centers all endoscopic procedures with a curative intent should also be carried out in centers with a high expertise in the different endoscopic resection (ER) techniques available, the major techniques being suck-and-cut ER and endoscopic submucosal dissection (ESD). Because of the risk of secondary neoplasia after curative endoscopic therapy, a standardized follow-up protocol is required. The majority of secondary neoplastic lesions can again be treated endoscopically. In the present article an overview of initial staging procedures, techniques, indications, as well as follow-up strategies after endoscopic therapy for early gastric cancer is given.
authors.affiliation: Klinik für Innere Medizin II, Dr. Horst Schmidt Klinik Wiesbaden, Lehrkrankenhaus der Universitätsmedizin Mainz, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Deutschland. hendrik.manner@hsk-wiesbaden.de
authors.forename: H
authors.initials: H
authors.lastname: Manner
authors.forename: O
authors.initials: O
authors.lastname: Pech
authors.forename: C
authors.initials: C
authors.lastname: Ell
mesh_terms: D004210:Dissection / Q000379:methods; D005753:Gastric Mucosa / Q000473:pathology / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology; D019060:Minimally Invasive Surgical Procedures; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D009367:Neoplasm Staging; D059351:Organ Sparing Treatments; D011230:Precancerous Conditions / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D013396:Suction
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