title: Ever-changing endoscopic treatment for early gastric cancer: yesterday-today-tomorrow.
abstract: Endoscopic resection has been an optimal treatment for selected patients with early gastric cancer (EGC) based on advances in endoscopic instruments and techniques. As endoscopic submucosal dissection (ESD) has been widely used for treatment of EGC along with expanding ESD indication, concerns have been asked to achieve curative resection for EGC while guaranteeing precise prediction of lymph node metastasis (LNM). Recently, new techniques including ESD or endoscopic full-thickness resection combined with sentinel node navigation enable minimal tumor resection and a laparoscopic lymphadenectomy in cases of EGC with high risk of LNM. This review covers the development and challenges of endoscopic treatment for EGC. Moreover, a new microscopic imaging and endoscopic techniques for precise endoscopic diagnosis and minimally invasive treatment of EGC are introduced.
authors.affiliation: Mi-Young Kim, Jun-Hyung Cho, Joo Young Cho, Digestive Disease Center, Soonchunhyang University Hospital, Seoul 140-887, South Korea.
authors.forename: Mi-Young
authors.initials: MY
authors.lastname: Kim
authors.affiliation: Mi-Young Kim, Jun-Hyung Cho, Joo Young Cho, Digestive Disease Center, Soonchunhyang University Hospital, Seoul 140-887, South Korea.
authors.forename: Jun-Hyung
authors.initials: JH
authors.lastname: Cho
authors.affiliation: Mi-Young Kim, Jun-Hyung Cho, Joo Young Cho, Digestive Disease Center, Soonchunhyang University Hospital, Seoul 140-887, South Korea.
authors.forename: Joo Young
authors.initials: JY
authors.lastname: Cho
mesh_terms: D000230:Adenocarcinoma / Q000266:history / Q000473:pathology / Q000601:surgery*; D004059:Diffusion of Innovation; D055088:Early Detection of Cancer; D005544:Forecasting; D005743:Gastrectomy / Q000266:history / Q000379:methods* / Q000639:trends; D005773:Gastroscopy / Q000266:history / Q000379:methods* / Q000639:trends; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008197:Lymph Node Excision; D057605:Natural Orifice Endoscopic Surgery / Q000266:history / Q000379:methods* / Q000639:trends; D013274:Stomach Neoplasms / Q000266:history / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Confocal laser endomicroscopy; Early gastric cancer; Endoscopic resection; Hybrid natural orifice transluminal endoscopic surgery; Sentinel node navigation