Premium
Endoscopic resection (endoscopic mucosal resection/ endoscopic submucosal dissection) for superficial esophageal squamous cell carcinoma: C urrent status of various techniques
Author(s) -
Shimizu Yuichi,
Takahashi Masakazu,
Yoshida Takeshi,
Ono Shouko,
Mabe Katsuhiro,
Kato Mototsugu,
Asaka Masahiro,
Sakamoto Naoya
Publication year - 2013
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2012.01408.x
Subject(s) - medicine , endoscopic mucosal resection , endoscopic submucosal dissection , endoscope , surgery , lesion , endoscopy , dissection (medical) , radiology
Endoscopic resection ( ER ) has been widely accepted as an effective and minimally invasive treatment for patients with superficial esophageal squamous cell carcinoma ( SCC ). Techniques of conventional endoscopic mucosal resection ( EMR ) were first developed for ER . There are three representative methods of conventional EMR : endoscopic esophageal mucosal resection ( EEMR )‐tube method, EMR using a cap‐fitted endoscope ( EMRC ) method and two‐channel EMR method. In the past decade, techniques of endoscopic submucosal dissection ( ESD ) have become established as standard methods of ER . ESD allows en bloc resection of a lesion, irrespective of the size and shape of the lesion. Recently, results of retrospective cohort studies confirming that ESD is superior to EMR as a curative treatment for superficial esophageal SCC have been reported. Representative knives that are now frequently used in esophageal ESD include H ook knife, T riangle tip knife, IT knife nano, F lush knife‐ BT , D ual knife, SB knife, and so on. Although there are various knives developed for ESD , the basic techniques for safe and effective ESD are the same.