title: Early gastric cancer:  an update on endoscopic management.
abstract: OBJECTIVE
  The review focuses on the latest endoscopic techniques that are emerging in the management of early gastric cancer.
  
  
  RESULTS
  Improved sensitivity and specificity in the diagnosis of early gastric cancers has been demonstrated in a number of studies by narrow band imaging (92.7 and 94.5%), confocal laser endomicroscopy (90.2 and 98.5%), and magnification chromoendoscopy (88.6 and 93.2%), respectively. In early gastric cancer, endoscopic submucosal dissection (ESD) has been shown to be superior to endoscopic mucosal resection (EMR) with curative resection rate at 79.5% for ESD vs. 59% for EMR, and a lower local recurrence rate at 0.82% for ESD vs. 5.03% for EMR.
  
  
  CONCLUSIONS
  Advanced diagnostic and therapeutic endoscopic techniques are changing the paradigm of care in patients with early gastric cancers.
authors.affiliation: UMass Memorial Medical Center, Department of Medicine, Division of Gastroenterology, University Campus, Worcester, Massachusetts 01655, USA.
authors.forename: Veronica
authors.initials: V
authors.lastname: Baptista
authors.forename: Anupam
authors.initials: A
authors.lastname: Singh
authors.forename: Wahid
authors.initials: W
authors.lastname: Wassef
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery; D004210:Dissection; D055088:Early Detection of Cancer; D005753:Gastric Mucosa / Q000473:pathology / Q000601:surgery; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D018613:Microscopy, Confocal; D062048:Narrow Band Imaging; D012680:Sensitivity and Specificity; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery