Endoscopic mucosal resection for esophageal and gastric cancers

Haruhiro Inoue, Norio Fukami, Tatsuya Yoshida, Shin Ei Kudo

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

Abstract: Better outcomes for digestive tract cancers are likely to be possible if the tumors are detected in their earliest stages, particularly when they exist as mucosal lesions without lymph node metastases. Early esophageal squamous cell cancers can be detected with high sensitivity and specificity by iodine staining. Only mucosal cancers are suitable for the curative approach of submucosal resection; the rate of metastasis is 4%, compared to a rate of metastasis of 35% in tumors with submucosal spread. In this review, the history of endscopic mucosal resection is reviewed, including the factors that have refined the technique and technical aspects crucial for effective results. The importance of adequate submucosal injection of dilute epinephrine in saline solution is particularly emphasized. The overall efficacy, low rate of complications and such practical aspects as post-therapeutic care are discussed. In general, mucosal cancers of the gastrointestinal tract have no risk of lymph node metastases and can be curatively managed by refined endoscopic mucosal resection procedures.

Original languageEnglish (US)
Pages (from-to)382-388
Number of pages7
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume17
Issue number4
DOIs
StatePublished - Jan 1 2002

Keywords

  • Barrett's esophagus
  • Colon cancer
  • Curative treatment
  • Endoscopic mucosal resection
  • Esophageal cancer
  • Gastric cancer
  • Mucosal lesions
  • Perforation
  • Post-therapy care

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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