title: Endoscopy and role of endoscopic resection in gastric cancer.
abstract: Patient selection for endoscopic resection is based on meticulous endoscopic examination and histological assessment so as to avoid performing this procedure on patients with a high risk of lymph node involvement or metastatic disease. Currently, endoscopic mucosal resection (EMR) is used for tumors <2 cm, and endoscopic submucosal dissection (ESD) should be considered for tumors >2 cm. The advantage of ESD is that it achieves en-bloc resection of larger tumors, potentially reducing the risk of disease recurrence.
authors.affiliation: Division of Thoracic and Foregut Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
authors.forename: Toshitaka
authors.initials: T
authors.lastname: Hoppo
authors.forename: Blair A
authors.initials: BA
authors.lastname: Jobe
mesh_terms: D004210:Dissection / Q000379:methods*; D004724:Endoscopy; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D013274:Stomach Neoplasms / Q000601:surgery*