title: Endoscopic therapy for early gastric cancer: standard techniques and recent advances in ESD.
abstract: The technique of endoscopic submucosal dissection (ESD) is now a well-known endoscopic therapy for early gastric cancer. ESD was introduced to resect large specimens of early gastric cancer in a single piece. ESD can provide precision of histologic diagnosis and can also reduce the recurrence rate. However, the drawback of ESD is its technical difficulty, and, consequently, it is associated with a high rate of complications, the need for advanced endoscopic techniques, and a lengthy procedure time. Various advances in the devices and techniques used for ESD have contributed to overcoming these drawbacks.
authors.affiliation: Keiichiro Kume, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu 807-8555, Japan.
authors.forename: Keiichiro
authors.initials: K
authors.lastname: Kume
mesh_terms: D004210:Dissection / Q000379:methods*; D019723:Endoscopes; D004724:Endoscopy / Q000295:instrumentation* / Q000379:methods*; D005343:Fibrinolytic Agents / Q000009:adverse effects; D005753:Gastric Mucosa / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000150:complications
chemical_list: D005343:Fibrinolytic Agents
keywords: Complications; Early gastric cancer; Endoscopic submucosal dissection; Indications; Recent advances; Standard techniques